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Nutrition Questionnaire

Personal Details and Health Screening

Full name

Have you previously completed the TWT Coaching Pre-Exercise Screening Form?

If you selected “Yes”, please skip the following Personal Details, Lifestyle and Health Screening section and continue directly to the Nutrition & Eating Habits questionnaire.

Date of birth

Email address

Phone number

Country

Height

Weight

Occupation

Which option best describes your usual activity level outside of structured exercise?

Approximately how many steps do you average per day?

How many times per week do you currently train?

What type of training or exercise do you currently do?

Approximately how long is each training session?

What is your main goal?

How would you rate your current stress level from 1 to 10?

How many hours of sleep do you usually get per night?

Are you currently taking any prescription medications?

If yes, please specify

Nutrition & Eating Habits

Do you currently track calories or macros?

Have you followed a nutrition plan before?

How many meals do you typically eat per day?

What does a typical day of eating look like?

What foods do you enjoy eating regularly?

What foods do you dislike or prefer to avoid?

Do you have any allergies, intolerances or dietary restrictions?

Do you have any current medical conditions or diagnoses that may affect your nutrition, digestion, appetite, weight or overall health?

If yes, please specify

Do you have any current or previous history of an eating disorder or a medically diagnosed disordered eating condition?

If yes, please specify

What do you feel is your biggest challenge when it comes to nutrition?

Other (please specify)

Do you experience cravings?

If so, what foods do you typically crave?

How much water do you typically drink per day?

Do you regularly drink any of the following? (Please include how often and how you usually have them.)

If yes, how do you usually have them?

(e.g. milk type, sugar, syrups, sweeteners, number of coffees per day, etc.)

How much time are you willing to spend preparing meals?

How often do you eat out each week?

How confident do you feel with your current nutrition?

Are you taking any supplements? If yes, please specify

When it comes to your grocery budget, which option best suits you?

Is there anything else regarding your health, menstrual cycle, digestion, lifestyle or personal circumstances that may be relevant when creating your nutrition plan?

By submitting this form, I confirm that the information I have provided is complete and accurate to the best of my knowledge. I understand that TWT Coaching provides general nutrition coaching for fitness, body composition and lifestyle goals and does not replace medical nutrition therapy, diagnosis or treatment from a registered healthcare professional. I agree to inform my coach of any relevant changes to my health, medication or circumstances throughout the coaching period.