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Spry Nutrition
This questionnaire is designed to give us insight into your nutrition habits and overall wellness. There are no right or wrong answers—just honest ones that help us support you better.
First Name
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Last Name
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Email
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Phone Number
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Please list any diagnosed medical conditions (e.g., PCOS, Diabetes, High Blood Pressure, IBS, Thyroid Issues)
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Are you currently taking any medications or supplements? If yes, please list briefly
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On a scale of 1-10, how ready do you feel to make changes to your nutrition and lifestyle?
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On a scale of 1-10, how ready do you feel to make changes to your nutrition and lifestyle?
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On a scale of 1-10, how would you rate your current energy levels throughout the day?
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On a scale of 1-10, how would you rate your current energy levels throughout the day?
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Which of these areas are you most interested in improving?
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Which of these areas are you most interested in improving?
Meal planning & prep strategies
Understanding nutrition labels
Portion control
Mindful eating habits
Grocery shopping guidance
Recipe modification
Supplement guidance
Which best describes your typical daily routine
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Which best describes your typical daily routine
Standard 9-5 office hours
Shift work / Irregular hours
Parent / Caregiver at home
Student schedule
Frequently traveling for work
Other (please specify below)
Submit