About this template
This Nutrition Questionnaire Google Form Template is designed for dietitians, nutritionists, personal trainers, and health coaches looking to streamline their client onboarding process. Collecting accurate dietary information, eating habits, food allergies, and health goals before an initial consultation allows practitioners to prepare tailored recommendations and make the most of their time together.
The form covers all essential baseline metrics, including meal patterns, supplement use, specific dietary restrictions, and personal nutrition goals. By gathering these insights upfront, wellness professionals can establish a comprehensive view of a client's lifestyle, potential barriers to healthy eating, and previous counseling history.
Built for seamless use with Doc2Form, this template can be customized in seconds to match your clinic or coaching practice branding. Instantly deploy it to new clients via email or your website and watch responses flow straight into your Google Sheets for effortless tracking and review.
Key features
- Capture complete dietary history and eating habits in one step
- Identify food allergies, intolerances, and supplement usage upfront
- Understand client goals and perceived barriers to healthy eating
- Automatically sync all responses to Google Sheets for easy review
- Fully customizable questions to match your practice workflow
Use cases
- Initial intake forms for registered dietitians and nutritionists
- Client assessments for personal trainers and wellness coaches
- Health and lifestyle questionnaires for corporate wellness programs
What this form collects
- Full Name (Short answer)Enter your first and last name.
- Email Address (Short answer)Where can we reach you with follow-up information or session details?
- Nutrition Session Interest (Multiple choice)What type of support or service are you primarily looking for?
- Dietitian Consultation History (Multiple choice)Have you ever worked with a registered dietitian or nutritionist before?
- Meal Skipping Frequency (Dropdown)How often do you skip meals during a typical week?
- Food Allergies or Intolerances (Paragraph)List any diagnosed food allergies, sensitivities, or ingredients you strictly avoid.
- Supplements or Vitamins (Paragraph)List any vitamins, minerals, protein powders, or herbal supplements you currently take regularly.
- Regular Food and Drink Intake (Paragraph)Describe a typical day of eating — what do you usually eat for breakfast, lunch, dinner, and snacks?
- Favorite Foods and Beverages (Paragraph)What are some healthy foods you genuinely enjoy eating, and what are your go-to comfort foods?
- Eating Habit Concerns (Checkboxes)Select any areas of your diet or eating habits you would like to improve.
- Barriers to Healthy Eating (Paragraph)What do you feel is your biggest obstacle when trying to eat healthily?
- One-on-One Session Goals (Paragraph)What are your top 1 or 2 health or nutrition goals you hope to achieve through our work together?
FAQ
How do I share this nutrition questionnaire with my clients?
Once you convert and open your template in Google Forms, simply click the 'Send' button to share the form via email link, embed it on your website, or text it directly to your clients.
Can I add or remove questions from this template?
Yes! Because the template lives entirely within your Google Drive as a standard Google Form, you have complete freedom to edit, add, or delete any questions to fit your practice.
Where are my clients' nutrition responses saved?
All submissions are stored securely in your Google account. You can view individual responses in Google Forms or automatically link them to a Google Spreadsheet for easy tracking.
Is this nutrition form template mobile-friendly?
Yes, all Google Forms are fully responsive and look great on smartphones, tablets, and desktop computers, making it easy for clients to complete on the go.
Can I use Doc2Form to update this form later?
Doc2Form helps you instantly generate your initial form from templates or documents. Once created, you manage and update your form directly inside Google Forms.
Get this form in your Google Drive
Save a copy to your Google Drive with one click (uses 1 credit). Or build from a PDF or description in the app.