Meet Your Health Coach

Before you meet your health coach, we need to have necessary information about your lifestyle.

Personal Information

Name

Age

Gender

Male

Female

Contact Information

Phone No.

Occupation

Current Weight

Height

Goal Weight

Medical History

Chronic Conditions

Medical Diagnoses

Medications

Previous Surgeries

Allergies (food and other)

Supplements

Family Medical History

Lifestyle and Habits

Dietary Preferences (e.g., vegetarian, vegan, gluten-free)

Food Allergies or Intolerances

Meal Patterns

Smoking Status

Typical Daily Diet

Alcohol Consumption

Caffeine Intake

Physical Activity

Exercise Frequency

Duration and Intensity of Exercise

Type of Exercise

Activity Level

Current Health and Wellness

Body Mass Index (BMI)

Hydration Status

Stress Levels

Body Fat Percentage

Sleep Patterns

Nutritional Goals

Weight Loss or Gain Goals

Overall Health Improvement Goals

Muscle Gain Goals

Specific Nutritional Goals

Dietary Restrictions

Cultural or Religious Dietary Restrictions

Personal Dietary Restrictions or Preferences

Eating Behavior and Attitudes

Eating Habits

Relationship with Food

Food Cravings

Food and Nutrition Knowledge

Understanding of Nutrition Principles

Previous Diet Plans or Programs Followed

Knowledge of Healthy Eating Practices

Baseline Measurements

Blood Pressure

Blood Glucose Levels

Cholesterol Levels

Other Relevant Biomarkers

Support System

Family and Social Support

Availability of Cooking Facilities

Access to Healthy Food Options

Preferences and Expectations

Preferred Types of Food

Cooking Skills and Preferences

Grocery Shopping Habits

Expectations from Dietician

Follow-up and Monitoring

Scheduled Follow-up Appointments

Progress Tracking

Feedback and Adjustments