Form templates / Fitness & Wellness
Nutrition Coaching Intake Form
A nutrition coaching intake form asks about a normal day, not an ideal one. What they actually eat, when, and around what - because a plan built on a description of good intentions fails in week two.
For gyms, personal trainers, studios and wellness coaches.
Ask what yesterday looked like
"Describe your diet" produces an aspirational answer. "What did you eat yesterday, from waking up to going to bed?" produces the truth, including the bit at 9pm that nobody thinks counts.
So this template asks for yesterday specifically, plus the shape of the day around it - work hours, who cooks, how often food is eaten out. Those constraints are what make a plan followable, and they're invisible if you only ask about food.
What a good intake form saves you
The first message from a new client almost never contains what you need. You reply asking one question; they answer a different one; a week later you still can't start. Every round trip is a day, and the clients who go quiet are usually the ones who got tired of answering.
One form ends that. Ask everything once, get a complete picture, and start the same day. The questions in this template are the ones you end up asking anyway - the form just gets them asked up front.
Screening questions you can't afford to skip
Injuries, conditions, medication and goals decide the programme and the liability. Asked in a doorway they get half an answer; asked on a form before the first session they get a real one.
It also lets you triage: the person who needs a GP referral, the returning client, the absolute beginner - each identified before they're standing in front of you.
Fast enough that people finish it
Abandonment is mostly a speed problem. A form that takes a second to appear and submits in one request gets finished; one that loads a framework first does not. This is a single self-contained page - no scripts to download, nothing to wait for.
Edit it like a document, publish like a link
Add questions, remove questions, change the order and the wording, set your accent colour. When you save, the form is live at its own address - share it by link, QR code or a button on your site, and read the answers in your dashboard.
What this template asks
- Your name
- Email address
- Phone number
- Date of birth
- What would you like to work on?
- In your own words, what would success look like?
- Is there a date you're working towards?
- What did you eat and drink yesterday?
- How many times a day do you usually eat?
- Who cooks?
- How often do you eat out or order in?
- Alcohol
- What's your working day like?
- How well do you sleep?
- How active are you?
- Medical conditions
- Medication and supplements
- Allergies, intolerances or foods you avoid
- Have you tried structured plans before?
More Fitness & Wellness forms
Questions
Do I need to ask about medical history?
Ask enough to know when to refer - diagnosed conditions, medication, disordered eating history. Nutrition coaching is not dietetics, and knowing where your scope ends is part of practising responsibly.
Should I ask for weight?
Only if you'll use it, and offer a "prefer not to say" option. For many clients the number is loaded, and measurements or how clothes fit work just as well for tracking progress.
Can I add or remove questions?
Yes - every question here is a starting point. Add your own, delete what doesn't apply, reorder by dragging, and make anything required or optional. Saving publishes the change immediately.
Where do the answers go?
Into your dashboard, where you can read, filter and export them as a spreadsheet. You can also have every response emailed to you the moment it arrives, or as a daily or weekly digest.
Do I need a website?
No. Every form gets its own link you can paste into an email signature, a text message, a QR code or a social profile. If you do have a site, you can link to it from anywhere on it.
Can I include a health questionnaire and a waiver together?
Yes - many trainers use one form with the screening questions first and the agreement as separate tick boxes at the end. Keep the wording specific, and have an adviser check anything you rely on.
Publish your nutrition coaching intake form today
Start from this template and change anything you like. Free to begin.