Nourish to Nurture Foundations Form
If you have any questions about the form, don't hesitate to reach out by email (kayla@kayladiashunter.com)!
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Email *
First Name *
Last Name *
Why you are interested in working with me to prepare for pregnancy? *
Have you worked with a nutrition coach in the past? *
Have you tried any dietary protocols in the past (whether independently or with the support of a practitioner)? If so, which one(s) and what were your experiences with this? *
What have been your greatest challenges to date as it relates to creating healthy eating habits? Or as it relates to maintaining these habits with consistency? *
Is there anything of relevance in your medical history that you would like to share? *
What does a typical day or week of eating for you usually include? *
How often do you cook your meals? *
Do you have any food allergies or sensitivities? If so, please list them. *
How would you describe your stress level on a typical day? *
What are your most significant stressors? If any, what stress-management tools do you use? *
On average, how much sleep do you get per night? *
Please describe your average weekly routine with regards to movement and exercise. (Please include walking, commuting and any physical demands at work as well as work outs.) *
Why do you want to get pregnant now? What would it mean for you to achieve this goal in the next 3-4 months? Consider how you would feel, what next steps you would want or need to take, how this would impact other areas of your life, etc. *
What would it mean to not achieve this goal? Consider how you would feel, what next steps you would want or need to take, how this would impact other areas of your life. *
What do you want to commit to START doing to support this goal? *
What do you want to commit to STOP doing to support this goal? *
What do you need from yourself to successfully start and stop doing what you've named above? *
What do you need from your partner to successfully start and stop doing what you've named above? *
What do you need from me to successfully start and stop doing what you've named above? *
How do you prefer to be held accountable? (Some people prefer "tough love" while others respond best to "compassionate correction". Some people respond best to frequent check-in's while other like space to figure things out independently. What's your cup of tea?) *
Is there anything else you think I should know to support you?
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