A first nutrition consultation goes further when the practitioner already knows the basics. This assessment form helps dietitians, nutritionists, and health coaches collect a client's background ahead of time, so the appointment can focus on goals and a plan rather than paperwork.
The form starts with name, email, birth date, and sex, then asks the client to list their main health concerns. Height and weight come next, followed by exercise: whether the client is active, how often, and what kind of activity. Clients then describe what they eat on a typical day across meals and snacks, which gives a practical starting point for dietary advice.
Lifestyle questions use a simple five-point frequency scale for smoking, alcohol, and recreational drug use, and two yes or no questions cover medications and supplements. A follow-up asking which ones appears only when the client says yes, so people with nothing to report move straight on. The form closes with the client's reason for seeing a nutritionist and a space for any other comments.
