QUESTINNAIRE COACHING | Andreea Plant-Based

First Name

Last Name

Email

Age

What are your main goals regarding the plant-based meal lifestyle?

Are there are health issues or symptoms I should be aware of?

Do you experience any digestive issues? If so, do you have any known triggers?

Activity (include type, frequency, intensity & duration)

Do you follow a particular diet?

Do you have any food allergies or sensitivities?

Do you prefer to include snacks or stick to 3 meals?

What is yours typical Breakfast & time eaten?

Do you have time to cook breakfast in the morning?

What is yours typical Lunch(s) & time eaten?

What is yours typical Dinner(s) & time eaten?

What are your favorite fruits?

List any foods you strongly dislike and do not want in your plan.

List any foods you especially enjoy or would like to include more of in your diet.

What are your favorites veggies?

What are your favorite plant-based protein sources( tofu, tempeh, edamame, lentils, beans, green peas, nutritional yeast, hemp seeds, spirulina, quinoa, chia seeds, oats)?

What are your favorite carb sources (oats, potato, rice, bread, pasta, quinoa, beans, carrots, sweet potato, etc.)?

Drinks (include quantity & type/details — Water, Coffee, Pop, Juice, Tea, Alcohol, Smoothies, Other ect.)

How do you feel about leftovers? If you enjoy them, how many days in a row do you eat the same meal?

When you don’t know what to eat/don’t have time what are your go tos? *

Do you enjoy cooking?

Do you prefer cooking each day or prepping on the weekend?

What is your biggest challenge when it comes to planning, shopping, preparing, and eating healthy food as part of your lifestyle?

Do you prefer a recipe style meal plan (specific ingredients, amounts & directions) or template style(eg. 40 gr protein, 2 cups vegetables, 1 tsp oil)?

Is there any other information you want me to know?

Plant-Based Lifestyle Coaching Questionnaire