Nutrition Coaching Questionnaire

Thank you for your interest in Nutrition Coaching. Please complete the questionnaire below and be as detailed as possible.

You will receive a response within 4-6 business days after you submit the questionnaire. (Be sure to check spam. Email will sent from kelsey@thegritsociety.co)

Hanah Jones and Kelsey Schultz are neither doctors nor registered dietitians. The contents of Consults or Nutrition Coaching should not be taken as medical advice. It is not intended to diagnose, treat, cure, or prevent any health problem – nor is it intended to replace the advice of a physician. Always consult your physician or qualified health professional on any matters regarding your health.

About You

First Name *

Last Name *

Email *

Age *

Gender *

Female

Male

Height *

Weight *

Overall goal(s): please include any specific goals for your training and/or body composition *

Are you familiar with counting macros? If you are not familiar, are you open to learning and having me write you macros custom to your goals? If yes, please tell me about your history with macros (did it in the past? Are you currently counting? What are/were your numbers? What kind of results did you have? How long did you do it for? If you are new to counting macros, no worries, we will guide you. Because you get free access to The Daily Grit app,you will need to go in there to watch the how to count/calculate your own macros guide which will strongly help this process for you! *

What is your current workout routine like? (include how many days/week, approximately how long each day, type of workouts and the intensity) *

Describe your typical daily routine. (Include work, exercise, and leisure activities) *

How many hours of sleep do you get on average per night? *

Do you smoke or consume alcohol? If yes, how often? *

Tell me about your personal life. (Single? Married? Kids? This helps me understand your life a little more in playing a role in my advice and feedback.) *

What is your daily movement like outside of the gym? Do you aim for 10k steps a day? Are you active at home? Do you prioritize walks? Please be candid here as this is a huge make or break for results. *

Current Supplementation or Vitamins? Are there any you are interested in learning more about or have been considering? *

How many meals do you typically eat per day? Do you skip meals? If yes, which ones and why? *

Describe a typical day's meals and snacks, including portion sizes. Do you eat out or order takeout? If yes, how often? *

Is there anything else you think is important for me to know about your health or dietary habits? Is there any other information that is helpful for me to know? Also, if you happen to be a mama and are breastfeeding, please be sure to mention that! *

What do you expect from 1:1 Nutrition Coaching? *

Insert Progress Photos (Fitted clothes/bathing suit/similar is best): *

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Nutrition Coaching Questionnaire

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