Initial Assessment Questionnaire

Things you absolutely refuse to eat!!!

If you select everything in any category, we will assume that whole category is off limits.

Tell me more about yourself

Help me calculate your caloric needs


Please recognize that it is your responsibility to work directly with your health care provider before, during, and after seeking nutrition and/or fitness consultation.

Any information provided is not to be followed without prior approval of your doctor. If you choose to use this information without such approval, you agree to accept full responsibility for your decision.

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