A Nutrition Assessment Form covers contact details, shift patterns, tracking preferences, and what someone eats on workdays versus weekends before nutrition coaching starts.
People want nutrition coaching that fits around night shifts, family dinners, and the odd weekend beer, but the first call still needs real details to work with. This Nutrition Assessment Form gathers those answers up front, so the session can start with what’s doable instead of a strict plan that falls apart when life gets busy.
The form opens with a short intro about preparing for a first session, booking follow-up, and 7-day invoice terms, then moves into Assessment details questions. The prompts cover whether meal tracking in an app is on the table, what a typical weekly roster looks like, how flexible carbs or meal timing can be, and what food actually looks like on a workday versus a weekend day. The pages run in green with a hot rose call-to-action under Syne headings and Inter body text, so the questions read like clear instructions rather than a lecture.
- Intro and terms Opens with why the form is being filled in, how booking follow-up works, and the 7-day invoice terms that apply per billing period.
- Contact details Collects name and email as required fields, with an optional phone number for follow-up.
- Tracking preferences Asks whether the client will track meals in an app, prefers not to, or can share photos and short notes only.
- Roster and timing Captures shift patterns and night shifts, plus how open the client is to changing carbs or meal timing.
- Workday vs weekend food Gathers short descriptions of what the client typically eats on a workday and on a weekend day.
Once the form is in your workspace, you share it as an online link and the responses land back with the submission. The required fields stay enforced, leaving you with complete contact info and the core context you need before scheduling anything.
We went from spending hours on every proposal to creating fully customized ones in under 5 minutes. That's not an exaggeration - we timed it.
What to include in a nutrition assessment form
| Part | What it covers |
|---|
Nutrition Assessment Form | A short opener explains what the form prepares for, how booking follow-up happens, and the 7-day invoice terms that apply at the start of each period. |
Your name | Collects the client’s name as a required field so the submission can be matched to the right person. |
Email address | Collects a required email address for follow-up and next steps after the form comes in. |
Phone number | Adds an optional phone number for clients who prefer calls or texts. |
Assessment details | A short note sets the expectation that the next questions are short answers used to prepare for the first coaching session. |
Are you willing to track some meals in an app? | Offers three options, so the client can choose between app tracking, no app, or photos and short notes only. |
Describe your typical weekly roster and night shifts | Captures roster patterns and night shifts as a required free-text answer, so advice can match real week-to-week constraints. |
Are you open to changing carbs or meal timing (for example skipping breakfast)? | Asks how flexible the client is on carbs or meal timing, with options that range from open to “only small changes I can keep.” |
Describe what you typically eat on a workday and on a weekend day | Collects required free-text descriptions of food on workdays versus weekends, so the coach sees the real baseline before recommending changes. |
Who it is for
Nutrition coaches and dietitians who need an intake form before a first consult in sports nutrition, weight management, or clinical nutrition.
The form in full
Nutrition Assessment Form
Fill this form so we can prepare for your first nutrition coaching session; Tahlia will contact you to book. We invoice each period at its start; invoices are payable within 7 days.
- Your name (required)
- Email address (required)
- Phone number
Assessment details
Short answers prepare us for your first nutrition coaching session.
- Are you willing to track some meals in an app?
- Yes, I can use an app
- No, I prefer not to track in an app
- I can take photos and short notes only
- Describe your typical weekly roster and night shifts (required)
- Are you open to changing carbs or meal timing (for example skipping breakfast)?
- Yes, I'm open to changes
- No, I prefer not to change meal timing
- Only small changes I can keep
- Describe what you typically eat on a workday and on a weekend day (required)
