Wellness · free template
Nutrition & Meal Plan Intake
Dietary restrictions, macro preferences and lifestyle habits for meal planning.
- Questions
- 16
- Pages
- 2
- Layouts
- classic
What this form asks
Every question is editable — rename it, make it optional, or delete it entirely.
Page 1 — About you
- Full namerequired
- Email addressrequired
- Age
- Height (cm)
- Current weight (kg)
- Goal weight (kg)
- Primary goalrequired
Page 2 — Diet & preferences
- Dietary patternrequired
- Allergies and intolerances
- Foods you dislike
- Meals per day
- Cooking time availablerequired
- Weekly grocery budget
- Do you want macro targets?required
- Typical day of eating right now
- Current energy levels
16 questions in total.
Works in this layout
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