Get the free Nutrition Pre-Consultation Questionnaire

Nutrition Reconsultation Questionnaire Height: ft inches Current weight: lbs Goal weight: lbs Referred by: Please answer each question as thoroughly as possible prior to your first dietitian visit.

How to fill out nutrition pre-consultation questionnaire

How to fill out nutrition pre-consultation questionnaire

1. To fill out the nutrition pre-consultation questionnaire, follow the below steps:
2. Start by providing your personal information such as name, age, gender, and contact details.
3. Answer questions related to your current diet and eating habits. Include information about your typical daily meals, snacks, and any specific dietary restrictions or allergies you may have.
4. Provide details about your medical history, including any pre-existing medical conditions, medications you are taking, and previous diagnoses related to nutritional concerns.
5. Indicate your physical activity level and provide information about your exercise routine or any sports you participate in regularly.
6. Mention your goals or reasons for seeking nutritional guidance. Whether you want to manage weight, improve overall health, address specific health concerns, or enhance athletic performance, be sure to clearly state your objectives.
7. If you have previously consulted with a nutritionist or dietician, share details about your past experiences and any recommendations or plans you have followed.
8. Finally, remember to truthfully answer all the questions and provide as much relevant information as possible. This will help the nutritionist or dietician assess your nutritional needs and develop an appropriate plan for you.

Who needs nutrition pre-consultation questionnaire?

1. The nutrition pre-consultation questionnaire is beneficial for individuals who are seeking professional guidance and advice regarding their nutritional needs.
2. Some specific individuals who may benefit from filling out this questionnaire include:
3. - Those who want to improve their overall health and well-being through proper nutrition.
4. - Individuals with specific health concerns such as diabetes, hypertension, or food allergies, who require personalized dietary recommendations.
5. - Athletes or individuals involved in sports who are looking to optimize their performance and fuel their bodies effectively.
6. - People who want to manage their weight in a healthy and sustainable manner.
7. - Individuals with a history of disordered eating patterns or those who have developed an unhealthy relationship with food.
8. - Those who have previously consulted with a nutritionist or dietician and would like to update their information and goals.
9. By filling out the nutrition pre-consultation questionnaire, individuals can provide valuable information to the nutritionist or dietician, allowing them to create tailored nutritional plans that address their specific needs and goals.

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