Fit in 15! Nutrition Counseling Questionnaire

This is a nutrition consult form for drivers enrolled in the Fit in 15 weight control program. This form will be completed throughout the Fit in 15 program to create optimal weight loss results via positive dietary habits. At the end of the nutrition call you will fill out a Fit in 15 SMART goal form to help youreach your goals.
  • Fit in 15! Nutrition Counseling

    Check all that apply.
  • How ready, willing, and able are you to change?

  • How is your stress and recovery?

  • Summary of call to review with client

    Fill out summary box below, this will guide you in guiding client on what to fill out in SMART goal form
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