Nutrition Audit Form Name * Name First Name First Name Last Name Last Name Email * Phone * How many meals and snacks do you eat per day? 2 or fewer3–45–67 or more How often do you consume protein with your meals? RarelySometimesMost mealsEvery meal How often do you eat vegetables daily? 0 servings1–2 servings3–4 servings5+ servings How much water do you drink daily? white_large_square Less than 32 oz Less than 32 oz32–64 oz65–100 oz100+ oz How often do you eat highly processed or fast foods? DailyA few times per weekOccasionally (1–2x per month)Rarely/Never Do you track your food intake (macros/calories)? Yes, dailyOccasionallyNo, but I’m interested in learningNo, and I prefer not to What is your primary nutrition goal? Fat lossMuscle gainImproved energy/performanceGeneral health/wellness What is your biggest challenge with nutrition? (check all that apply) Meal prep/time constraints Cravings/snacking Eating out/social events Confusion about what to eat OtherOther Do you have any dietary restrictions or food allergies? YesNo If so, please list. Would you like guidance on meal planning or nutrition coaching? Yes, I’d love more info!Maybe, I’d like to learn more.No, I feel confident in my current approach. Submit If you are human, leave this field blank. Δ
