Nutrition Counselling Intake Form
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Welcome
I am so excited to create your nutrition program, designed specifically for your needs and to help you reach your health goals. Please complete this form to help me better understand your ambitions, typical diet, lifestyle and preferences.

Remember — there is no such thing as “too much information” here. The honest information you provide will help me create a balanced, sustainable nutrition program that will fit with your schedule.

🔒 All information shared will be kept strictly confidential.
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