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Nutrition Questionnaire
Please fill out all of the questions to the best of your ability
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* Indicates required question
Name (First and Last)
*
Your answer
Email
*
Your answer
Phone Number
*
Your answer
Date of birth
*
Your answer
Sex
*
Male
Female
Height (inches) and Weight (Pounds)
*
Your answer
Body fat percentage. If unknown leave blank.
Your answer
Diet Preferences
*
No diet preference (eat most food)
Lacto-Ovo-Vegetarian
Lacto-vegetariean
Ovo Vegetarian
Pescatarian
Vegan
Food avoidance or allergies
*
Beef
Fish
Lamb
Poultry
Gluten
Pork
Shellfish
Dairy
Game meat
Peanuts
Sesame
Soy
Treenuts
Wheat
Other:
Required
Please share any other food avoidance or allergies below.
Your answer
What is your cooking skill level
*
Beginner
Intermediate
Advanced
Any (Click this if you want all types of recipes)
How many days of meals do you like to plan at a time?
1
3
5
7
How often do you want leftovers a week?
*
Never
1 day
2 days
3 days
How often do you go grocery shopping?
Your answer
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