New client intake

Gather comprehensive health and diet details from new clients for personalized nutrition coaching.

Hosted by Teresa · 7 questions

Every question in this template

Teresa asks each of these questions on video, in this order.

  1. 01

    What's your main goal?

    Multiple choice

    Teresa says: “Tell me the main thing you'd like to change about how you eat.”

    More energy · Weight management · Eating for a sport · Healthier family meals · Eating well with a health condition

  2. 02

    Walk me through a typical day of eating

    Video, voice or text answer

    Teresa says: “Walk me through what you ate yesterday, from breakfast to bedtime.”

  3. 03

    How confident are you cooking at home?

    Star rating

    Teresa says: “How confident do you feel cooking at home, from one to five?”

  4. 04

    Do you follow a particular way of eating?

    Multiple choice

    Teresa says: “Do you follow any particular way of eating?”

    Vegetarian or vegan · Gluten free · Dairy free · No particular diet

  5. 05

    Your email

    Short answer

    Teresa says: “What's the best email for your plan and check-ins?”

  6. 06

    Coaching is not medical care

    Consent

    Teresa says: “Coaching works alongside your doctor, not instead. Please confirm you're okay with that.”

  7. 07

    Anything your doctor wants us to keep in mind?

    Long answer

    Teresa says: “Is there anything your doctor has asked you to keep in mind?”

More video templates

What's your trade?

Contractor safety induction

Conduct contractor safety inductions, collect critical safety information, and ensure site rule compliance.

See every question

How would you like to be paid?

Bank transferOnline payment platformThrough my agency

New freelancer setup

Gather contact details, portfolio links, payment preferences, and legal agreements from new freelancers.

See every question

How has your first month been?

First month check-in

Collect new employee feedback after one month to improve their onboarding experience.

See every question
Ready to transform feedback?

They won't type it.
But they'll show it.

Start collecting real feedback in video. See what your customers actually think and feel.