Nutrition Consultation Form Template
Get the full picture of a new client before their first session — diet history, goals, allergies, and habits in one shareable intake form.
A complete nutrition consultation form that captures the health, lifestyle, and dietary information you need before the first session. Clients fill it on their phone or laptop, you get a clean record in your inbox, and the conversation starts with context instead of guesswork.
Why use a nutrition consultation form?
What's included in this template
15 fields — customize any field or add new ones with AI.
Need different fields?
Tell the AI what to change — "add a budget dropdown" or "remove phone number" — and it edits the form instantly. Every field type above can be added, removed, or relabeled through the chat interface.
Key features of this nutrition consultation form template
Everything you need to launch this form in minutes, share it with your team, and collect submissions reliably.
Pre-session intake
Clients answer health history, goals, and dietary habits before the call, so the first session is spent on advice — not paperwork.
File upload for reports
Patients can attach recent bloodwork, body composition scans, or food diaries directly to their submission. PDFs, images, and Excel files all work.
Allergy and medication flags
Dedicated fields for allergies, intolerances, and current medications mean nothing critical gets buried in a free-text note.
Mobile-friendly
Most clients fill these forms from their phone in the kitchen or during a commute. The layout adapts so long lists stay readable and uploads still work over mobile data.
Auto-saved drafts
If a client gets interrupted halfway through, their answers are kept. They reopen the link later and pick up where they stopped — no retyping.
Direct-to-your-tools delivery
Every submission can be routed to Google Sheets for a client roster, Slack for new-client alerts, or Notion for your case notes.
Perfect for
How to use this template
Open the template
Click "Use this template free." Flexform loads the form instantly — no account needed to preview.
Customize with AI
Type what you want to change in the chat: fields to add or remove, rename labels, change field types, or rearrange pages.
Connect & publish
Link to Google Sheets or Slack with one click, then embed on your site or share the link.
Ways to use this template
New private-practice client
A dietitian sends the form link the moment a discovery call is booked. By the time the first session starts, they have a full picture of the client's diet, medical history, and goals — and can spend the hour planning, not interviewing.
Online coaching program
Coaches running a remote program send the form during signup. Responses flow into a Google Sheet that doubles as the client roster, and new entries trigger a Slack alert so the right coach picks up the case.
Sports nutrition assessment
A team nutritionist uses the form to collect baseline data from athletes — current weight, training volume, supplements, dietary preferences. Bloodwork uploads make it easy to compare against next quarter's numbers.
Wellness clinic intake
Multi-practitioner clinics use it as a shared intake form. Front-desk staff send the link after booking; the practitioner reviews the submission in Notion before the patient arrives.
Corporate wellness program
An HR-funded wellness vendor collects intake from employees enrolling in a nutrition plan. Allergy and medication flags are reviewed by a dietitian before any group meal plans are sent out.
Weight-management program enrollment
Gyms running structured weight-loss programs use the form during member onboarding. Goal and dietary-preference responses feed directly into the trainer's first meal plan recommendation.
Workflow integrations
Connect this form to your existing tools with no middleware. Every submission triggers your workflow automatically.
Real-time sync
Data appears in your CRM or spreadsheet within 1–2 seconds of submission — no cron jobs, no delays.
Conditional routing
Route submissions to different Slack channels, HubSpot pipelines, or Airtable bases based on field values.
Two-way data flow
Pre-fill form fields with CRM data for returning visitors. Update existing records instead of creating duplicates.
Why choose Flexform?
Frequently asked questions
Is this template HIPAA-compliant out of the box?
The template itself collects health information but compliance depends on your plan and configuration. For clinical use in the US, contact us about a Business Associate Agreement — the form structure is ready, the legal layer is what you add on top.
Can clients upload bloodwork or scans?
Yes. The file upload field accepts PDFs, JPGs, PNGs, and common document formats up to the size limit on your plan. Most lab reports and body composition scans are well under that ceiling.
How do I change the questions for a specific specialty — say, pediatric or sports?
Ask the AI in plain English. Type something like "remove the supplements field and add questions about training volume and competition schedule" and the form updates. You don't need to touch any settings panel.
Where do the responses go?
Every submission lands in your FlexForm dashboard, and you can route it to Google Sheets, Slack, Notion, an email address, or a custom webhook. Most dietitians pipe responses into a single Google Sheet that doubles as their client roster.
Can clients save their progress?
Drafts auto-save while they fill the form, so a half-finished intake survives a closed tab or a flat phone battery. Reopening the link picks up where they left off.
Can I embed this form inside my own patient app?
Yes — the Kotlin Multiplatform mobile SDK renders the same form natively on Android and iOS. If you build a wellness or coaching app, members fill the intake inside your product rather than being pushed to a browser.
Is there a charge per client?
No. FlexForm pricing is based on plan tier, not per submission, so taking on more clients doesn't increase the cost. The free plan covers small private practices indefinitely.
Can I add my clinic's branding?
Colors, logo, and fonts are all editable. Most practices set up the form once with their branding and reuse the same link for every new client.
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Use this nutrition consultation form template free
Open the template, customize with AI, connect your tools, and publish — in under 5 minutes.
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