Members | Nutrition by Niv

Initial Consultation

Fill this in once so Niv can build your nutritional plan. You can update it later if anything changes.

Basics

Name *

Email Address

Age *

DOB

Height (cm) *

Weight (kg) *

Phone

Goals & support

What prompted you to contact a nutritionist?

What would a successful outcome look like to you?

Do you have any specific goals? (use the SMART model)

How can I support you best in this? What do you need most?

What are your main barriers at the moment?

Lifestyle & training

How would you describe your current wellbeing?

How would you describe your current dietary approach?

What is your exercise history?

What have you most enjoyed/disliked about previous exercise approaches?

How active are you outside of the gym? Do you have an active job?

Daily routine & food

What does a typical working day look like? (eating times, waking times, free time, sleeping time etc). What would you usually eat? How many hours of sleep do you get on an average per night?

What does a typical day off look like? What would you typically eat?

What does alcohol mean to you, and how often do you drink?

How often do you eat food that you have not cooked yourself?

How would you describe your current nutritional knowledge?

Health & preferences

Are you using any medications (prescribed or other, including birth control)?

Are you using any supplements? If so, why?

Do you have any experience with an App like My Fitness Pal? Do you currently use an activity tracker e.g. Fitbit/apple watch?

Any food allergies?

Any foods that you want to include in your meal plan. For example, you may really like to eat bread with peanut butter so we will find a way to include that in.

Do you take any supplements, e.g., Multivitamin?

Any other info that I need to be aware of?

Today's Activity

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Food Log

Describe what you ate - calories and macros are estimated automatically.

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Workouts

Watch-synced workouts show up automatically - add anything it missed here.

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Calorie & Macro Calculator

Sex

Age

Height (cm)

Weight (kg)

Activity Level

Goal

Rate (kg/week)

Meal Plan Generator

Calculate your targets above first, then generate a day's meal plan built around them.

Members Area

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