NUTRITION CAPTURE
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Full Name
Current Weight (kg)
Age
Gender
Male
Female
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Primary Goal
Fat loss
Muscle gain
Performance / Energy improvement
General health & wellbeing
How would you describe your overall activity level?
Sedentary (little or no exercise)
Lightly active (1–2 sessions/week)
Moderately active (3–4 sessions/week)
Very active (5+ sessions/week)
Do you do any manual activity for paid work?
Yes — mainly physical work (e.g., trade, construction, labour, etc.)
Some — mix of physical and desk work
No — mainly desk-based or sedentary
Do you have any specific dietary requirements or preferences?
Which meal style do you prefer?
Smaller, more frequent meals (4–6/day)
Larger, less frequent meals (2–3/day)
No strong preference / flexible
Are you willing to prepare at least one meal per day ahead of time (meal prep)?
Yes
No
Unsure / depends on schedule
Do you understand the importance of following this plan to ensure you meet your goals?
Yes — fully understand
Mostly, but I’ll need some support
Not yet, still learning
Anything else you’d like your coach to know about your nutrition or lifestyle?
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