Nutrition counselling assessment form

This form is used by a nutrition counsellor to assess their client's nutritional needs.

Time to complete

2 minutes

Eligibility

A nutrition coach or nutrition counselor can fill nutrition counseling assessment form on the client's behalf or the client can themselves take the assessment.

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Questions for Nutrition counselling assessment form

1.

Do you generally eat breakfast every day?

The answer should be a single choice:
  1. Yes
  2. No
2.

Do you generally eat lunch every day?

The answer should be a single choice:
  1. Yes
  2. No
3.

Do you generally eat dinner every day?

The answer should be a single choice:
  1. Yes
  2. No
4.

Do you generally snack between meals?

The answer should be a single choice:
  1. Yes
  2. No
5.

What is your typical breakfast?

The answer should be a text input.
6.

What is your typical lunch?

The answer should be a text input.
7.

What is your typical dinner?

The answer should be a text input.
8.

What are your usual snacks?

The answer should be a text input.
9.

What is your current weight?

The answer should be a text input.
10.

What is your ideal weight?

The answer should be a text input.
11.

What are your current eating habits?

The answer should be a text input.
12.

What do you feel are the main barriers to you achieving your ideal weight?

The answer should be a text input.

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Here are some FAQs and additional information
on
Nutrition counselling assessment form

What is a nutrition counselling assessment?

A nutrition counselling assessment is a meeting between a registered dietitian and a client. The assessment involves discussing the client's eating habits, health history, and goals. The dietitian will then provide advice and recommendations on how the client can improve their diet.

How long does a nutrition counselling assessment take?

A nutrition counselling assessment usually takes about 5-10 minutes.

How much does a nutrition counselling assessment cost?

The cost of a nutrition counselling assessment varies depending on the dietitian's fee.

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