Client Intake Form for Nutrition Consulting

The Client Intake Form gives the holistic nutrition practitioner (you) an overall assessment of your client’s health-related information. Most importantly, you will discover your client’s main health concern(s) and reason(s) for coming to use your services.

Use this assessment tool to collect your client’s personal information, stress levels, sleep patterns, occupation, health concerns, hobbies, spiritual practices, and dietary habits.

Additionally, we have made it easy for you to customize this holistic nutrition intake form by allowing you to add three additional questions of your choice.

With this consulting form, you will increase the efficiency of your nutrition business and increase the level of your professionalism as a nutrition practitioner.

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"I've recently just begun using your consulting forms in my practice. I have to say THANK YOU! Your website has made things a lot easier for myself and my clients. Looking forward to see what you guys come up with next!"

-Janette Mason, Certified Holistic Nutritionist

Client Intake Form Preview

Client Intake Form Preview 1

Branded, professional, and easy-to-fill online

Client Intake Form Preview 2

Clear instructions for your clients to follow

Sample PDF Results: Click here to download the sample PDF results. These results will be accessible through your Hub Premium Membership.

Compare Membership Features

Hub Pro Version

Send to clients via the Form Sender

 Professional look and easy to fill out online

 Formatted results to your email inbox

Brand form with company banner/logo

 Add 3 custom questions to your intake form

 Receive results in PDF format to download and save

Sign Up Now

Hub Premium Version

Send to clients via the Form Sender

 Professional look and easy to fill out online

 Formatted results to your email inbox

Brand form with company banner/logo

 Add 3 custom questions to your intake form

 Receive results in PDF format to download and save

Sign Up Now

Other Awesome Features

Medical History Form

This simple to use online form will help you gather your client’s medical history information, as well as a detailed family history of conditions and diseases. Learn more…

Nutrient Recommendation Tool

This consulting tool will blow your mind. Pick what micronutrient you want to target, and get suggestions for ideal foods, supportive interactions, and depleting foods. Learn more...

 Save Results To PDF

Save your client's results to PDF format for easy storage and analysis. Each consulting questionnaire can be saved as a PDF file directly to your computer.

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