Rachael Schwartz Nutrition
About
Meet Rachael
My Philosophy
Work With Me
Nutrition Coaching
Testimonials
Recipes
SHOP
Contact
About
/
Meet Rachael
My Philosophy
Work With Me
/
Nutrition Coaching
Testimonials
Recipes
/
SHOP
/
Contact
/
Eat Real, Sweat Hard, Discover Your New Normal
Food Preference Assesment
About
/
Meet Rachael
My Philosophy
Work With Me
/
Nutrition Coaching
Testimonials
Recipes
/
SHOP
/
Contact
/
Food Preference Assesment
Full Name
*
First Name
Last Name
Email
*
TELL ME ABOUT YOUR CURRENT DIET:
Do you have any food allergies or intolerances? If so, what are they?
*
Do you use a protein powder or any supplements? If so, which do you use?
*
Do you have any dietary restrictions or follow any special diets (Ex.Vegan Diet, Kosher Diet, etc.)?
*
If you are currently tracking your calories or macronutrients (protein, fat, carbs?), what are your calories/macros on average?
*
TELL ME ABOUT YOUR CURRENT LIFESTYLE
Where do you go food shopping?
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Can you tell me what you might eat in a typical day? Starting with first thing in the morning until you go to bed. What times do you eat? Try to include as much detail as possible!
Breakfast:
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Lunch:
*
Dinner:
Do you snack between meals? If so, what kinds of snacks are you currently eating?
*
How often do you dine out, and what are your go-to orders?
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How much water per day do you consume?
*
Do you drink coffee or tea? If so, how much per day and how do you take it?
*
Do you consume additional liquids (Ex: energy drinks, sodas)? And if so, how much and how often?
*
Do you typically have desserts? What are your go-tos? And if so, how much and how often?
*
Check off the meals that you currently eat regularly:
*
Breakfast
Morning Snack
Lunch
Afternoon Snack
Dinner
After Dinner Snack/Dessert
TELL ME ABOUT YOUR PREFERENCES:
Check off the protein sources that you currently consume regularly:
Chicken
Turkey
Beef
Pork
Fish
Shellfish
Smoked Salmon
Eggs
Greek Yogurt
Cottage Cheese
Tofu
Tempeh
Beans and/or Legumes
Veggie Burgers
Protein Powders
Bean Based Pastas (Edamame Pasta, Chickpea Pasta, Etc)
Are there any protein sources that you do not see listed that you consume regularly? Any additional notes you would like me to be aware of? Include details about specific types of protein you enjoy. For example, if you like fish, what kind of fish do you like?
*
Check off the carbohydrate sources that you currently consume regularly:
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Bread
Tortillas/Wraps
Oats
Cereal
Rice
Pasta
Quinoa
Beans and/or Legumes
Sweet Potato
White Potato
Butternut Squash
Are there any carbohydrate sources that you do not see listed that you consume regularly
*
Check off the fat sources that you currently consume regularly:
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Olive Oil
Coconut Oil
Butter
Nut Butters
Nuts
Seeds
Avocado
Cheese
Gee
Are there any fat sources that you do not see listed that you consume regularly?
*
Check off the fruits that you currently consume regularly:
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Apples
Bananas
Strawberries
Blueberries
Raspberries
Blackberries
Cherries
Watermelon
Cantaloupe
Honeydew
Pineapple
Papaya
Mango
Coconut
Pears
Peaches
Nectarines
Plums
Oranges
Clementines
Grapes
Are there any fruits that you do not see listed that you consume regularly?
*
Check off the vegetables that you currently consume regularly:
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Broccoli
Cauliflower
Zucchini
Brussels Sprouts
Green Beans
Pears
Spinach
Lettuce
Eggplant
Asparagus
Peppers
Mushrooms
Corn
Carrots
Celery
Artichokes
Spaghetti Squash
Hearts of Palm
Are there any vegetables that you do not see listed that you consume regularly?
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Check off the condiments that you currently consume regularly:
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Guacamole
Tzatziki
Hummus
Ketchup
Mustard
Mayo
Vinegar
Soy Sauce
Hot Sauce
Are there any condiments that you do not see listed that you consume regularly?
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MORE DETAILS:
What are your favorite foods? (healthy or unhealthy!)
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What are your least favorite foods?
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Do you drink alcohol? If so, how many times per week, how many drinks per occasion? What kind of drinks?
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Do you prefer tons of variety or do you like repetition?
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Which food prep style best describes you?
I like to prep food in advance and eat the same meals for a few days
I want to spend more time cooking and have different meals each day
Other (specify below)
Are there any meals that you're currently making that you love?
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MORE DETAILS:
Do you have any other comments/questions about your food preferences that you’d like me to be aware of?
*
Is there anything else about yourself that you would like to share with me?
*
Thank you!
