Nutritionist

Here's What You Need to Know

The belief at All For One Fitness is that nutrition is the large majority of what makes you successful on a fitness journey. You are what you eat and we strive to make sure that our clients get the best nutritional information. Lifestyle change is the focus of our service. Dieting encourages that you make a temporary change for what may be a temporary gain but when you make a lifestyle shift you look to continue that growth for a lifetime. Please fill out our questionnaire so we can get a firm understanding out your needs and limitations.

Nutrition Questionnaire

Please fill out this questionnaire before booking a consultation!

NameDate of Birth
AgeAddressCity & ProvincePhone numberOccupationHas a doctor diagnosed you with a heart condition?Have you ever had sharp pain or heavy pressure on the chest as a result of exercise?Do you experience chest pain or shortness of breath in cold weather?Have you ever experienced rapid heartbeat or palpitations?Have you ever had a suspected heart attack?Have you ever had rheumatic fever?Do you have Diabetes?Do you have Hypertension?Do you have High Blood Pressure?Do you have any blood relatives that have had a heart attack or coronary heart disease?Have you ever been diagnosed with high cholesterol?Have you ever taken digitalis, quinine or any other drug for your heart?Have you ever taken nitroglycerin for chest pain?Are you considered to be overweight?Are you under excessive stress?Do you drink heavily?Do you smoke?Do you have a physical condition or joint/muscle problem that should be considered before you begin a nutrition program?Do you exercise fewer than 3x per week?List anything that has been medically cleared or that you wish to have medically clearedList all medications
List all allergies

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Nutrition service

Here's What You Need to Know

Nutrition Questionnaire