Let's Learn more about your current eating habits

My version of healthy eating looks like:

My goal/s with eating healthier are:

I have the following food allergies: (please also list the food allergies of anyone else you are feeding)

Please specify any personal food choices (vegan, vegetarian, etc.)

My favorite foods are:

My least favorite foods are:

My food quirks are: (Please let me know about any of food quirks - maybe you can't stand certain textures or love a specific flavor combination.)

My preferred food preparation/cooking methods are: (select all that apply)

My comfort in the kitchen and with cooking is:

My current meal prep consist of:

I have _________ hour/s to spend on meal prep each week.

I have _________ to prepare dinner at night.

My thoughts about grocery shopping are:

I eat out _______ times per week (fast food, restaurants, etc.):

I drink _________ glasses of water per day:

My daily caffeine consumption is (combination of coffee, tea, soda, etc.):

My daily soda/pop consumption (diet or regular):

Please list any diets you are currently on.

Please list any diets that you have tried in the past and why they didn't work for you.

Activity level:

Hours of sleep per night:

Level of stress:

Is there anything else you would like me to know about? Please share here if there is!