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Meal Plan Intake Questionnaire

Please answer as honestly and completely as possible — your answers are how we build a plant-based meal plan that truly works for your life and your goals.

Note: Sandra Krause is a certified Integrative Nutrition Health Coach and Plant-Based Nutrition Specialist, not a licensed physician or registered dietitian. Please consult your doctor before making significant dietary changes, especially if you are managing a medical condition or taking medications.

Full Name

Email Address

What are your TOP 3 health priorities right now?

What has prevented you from reaching your health goals in the past?

Family & Lifestyle

How many times per week does your family typically cook dinner?

7 nights — we cook every night

5–6 nights — mostly home cooked

3–4 nights — mix of cooking and leftovers

1–2 nights — we rely heavily on leftovers and easy meals

Who are you cooking for?

Just myself

Myself and a partner

Myself and children

Myself, a partner, and children

How many adults will this meal plan feed?

How many children will this meal plan feed?

Does your family eat animal proteins?

Yes

Kitchen & Budget

How would you describe your cooking skill level?

Beginner — I rarely cook

Basic — I can follow simple recipes

Intermediate — I'm comfortable in the kitchen

Advanced — I love to cook and experiment

How much time do you have on weekdays to cook?

Less than 15 minutes

15–30 minutes

30–45 minutes

45–60 minutes

I enjoy cooking and have plenty of time

What is your approximate weekly grocery budget?

Under $100

$100–$150

$150–$200

$200+