Nutrition Coaching Client Intake Form 2025

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Essential components of an effective therapy intake form Patient demographics: Basic information such as name, age, gender, and contact details. Medical history: Including past medical conditions, surgeries, and allergies. Reason for seeking therapy: Understanding the patients primary concerns and goals for treatment.
An intake form is a document used to gather important information from clients, customers, or patients when they first interact with a service or organization. It typically includes basic details like contact information, purpose of seeking services, and other relevant data.
Nutrition Curriculum Structure Each nutrition coaching session should include specific components including a baseline and outcome measurement, along with education and journaling accountability. The nutrition coach can provide more detailed and individualized information as the size of the group gets smaller.
Intake forms can be made in Word by following these steps: Step 1 : Open Microsoft Word. Open Microsoft Word on your machine. Step 2 : Make a new document. Step 3: Add form fields. Step 4: Customize the details of the form. Step 5: Keep the form safe. Step 6: Send it out and save it.
Monthly nutrition coaching packages typically range from $200-500 per month for individual coaching, depending on service frequency, coach experience, and market. Group coaching programs may cost $99-199 per month, while premium packages with daily support can exceed $1,000 monthly.

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Create a client intake form using Google Forms. In Google Forms, click the plus sign. Click the Untitled form header box. Enter a name and description for the form. Click the Untitled Question box. Type What is your name? Click the dropdown menu to choose the type of answer field.

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