Nutrition Challenge Onboarding

Fiona Duncalf

45 Day Nutrition Challenge - Onboarding

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Your next steps for the “45 Day Nutrition Challenge” are to complete the form below.

Please complete the form below:

Name

First Name

Last Name

Contact Number

What is your bodyweight in Kilograms?

Please weigh yourself first thing in the morning (butt naked and after a number 2!)

What is your main goal over the next 45 days?

How many steps do you currently do per day?

How many meals a day would you like your plan based around?

Have you used My Fitness Pal or NutraCheck?

I don't want you living like a monk, so Alcohol... What is your drink of choice? I will factor this into your plan, but at a "portion size" per week.

Food dislikes... please list all the foods below that you WILL NOT eat:

Example: Mine is the devil herb, coriander!

Do you have any food sensitivities, intolerances or allergies?

Example: Gluten, Dairy etc

Please rate your current SLEEP...

1 = POOR / 10 = INCREDIBLE

Please rate your current ENERGY...

1 = POOR / 10 = INCREDIBLE

Please rate your current DIGESTION...

1 = POOR (Infrequent and not consistent texture) / 10 = REGULAR and OFTEN (Daily and even twice per day with a perfectly formed poo with good consistency)