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Nutrition Coaching Client Intake Form

Onboard a new nutrition client with a full health and lifestyle picture, capturing goals, diet, and habits in one form.

Description

The Nutrition Coaching Client Intake Form gives coaches a thorough way to onboard a new client. It captures their main goal, where they are at and what they want to change, and how they describe their current diet, so you understand the person before you shape any plan.

Questions about dietary approaches, allergies, activity, medication, sleep, and stress build a full health and lifestyle picture, while a confidentiality step covers the sensitive information involved. Capturing all this upfront means your coaching is personal, safe, and effective from the very first session.

A full picture is the foundation of great coaching. Sign up for a free Fun Forms account to customize the fields and embed this intake form on your website.

Form fields

Everything the Nutrition Coaching Client Intake Form above collects — 15 fields across 2 pages, so you can see exactly what it captures before you make it your own.

Let's Build Your Plan

  • What's your main goal right now?

    Dropdown Icon
    Dropdown
  • Tell us a bit about where you're at and what you'd like to change

    Long Answer Icon
    Long Answer
  • How would you describe your current diet?

    Dropdown Icon
    Dropdown
  • Do you follow any of these?

    Multi-Select Icon
    Multi-Select
  • Any food allergies or intolerances we must know about?

    Long Answer Icon
    Long Answer
  • How many days a week are you active?

    Dropdown Icon
    Dropdown
  • Are you currently taking any medication?

    Yes/No Icon
    Yes/No
  • If yes, please list medication and any medical conditions

    Long Answer Icon
    Long Answer
  • Roughly how many hours do you sleep a night?

    Number Icon
    Number
  • How stressed do you feel day to day?

    Scale Icon
    Scale

Your Details

  • Your name

    Name Icon
    Name
  • Email address

    Email Icon
    Email
  • Mobile number

    Telephone Icon
    Telephone
  • Date of birth

    Date Icon
    Date
  • Confidentiality

    Consent Icon
    Consent
Use Template Arrow Right Icon

Template FAQs

Common questions about the Nutrition Coaching Client Intake Form — what it captures, when to use it, and how to make it your own.

What is a nutrition coaching client intake form?

A nutrition coaching client intake form is an online form new clients use to share their full health and lifestyle picture. It captures goals, diet, activity, sleep, stress, and medication, so a coach can build a safe, personal plan from a complete understanding of the client.

Why ask about sleep and stress?

Sleep and stress profoundly affect appetite, energy, and how the body responds to food. Capturing them gives a fuller picture than diet alone, so you can address the lifestyle factors that shape a client’s results, not just what they eat, for genuinely effective coaching.

Why ask about medication and conditions?

Knowing about medication and medical conditions is essential context for safe nutrition coaching. It helps you understand a client’s situation, work appropriately alongside their healthcare team, and avoid advice that could interact with their treatment, without ever stepping into giving medical advice yourself.

Why ask how active a client is?

Activity levels shape a client’s energy needs and how their diet should be structured. Knowing how many days a week they are active lets you match nutrition to their lifestyle, so the plan supports their training or daily life rather than working against it.

Why include a confidentiality step?

Intake gathers sensitive personal and health information, so a confidentiality step reassures the client and records their agreement to how it will be handled. It builds the trust that good coaching depends on and supports responsible, professional treatment of their data.

Is the nutrition coaching client intake form free?

Yes, this nutrition coaching client intake form is completely free, and you can customize the fields to fit your coaching, embed it on your website, and go live with no coding required. Just create a free Fun Forms account to start onboarding clients online.