This twelve-question intake form collects everything a nutrition coach needs before a first session. It opens by gathering contact details and date of birth, then moves into the heart of the assessment: the "What are your primary nutrition goals?" question, the "Do you have any diagnosed medical conditions relevant to your diet?" question, and the "Do you follow any specific diet or have food restrictions?" question, which together let the coach build a safe and relevant plan. The "How would you describe your current eating habits?" and "How many days per week do you currently exercise?" questions add lifestyle context, while the open-ended "What is your biggest challenge when it comes to eating well?" question surfaces the personal barriers a coach most needs to know. The optional "Are you currently taking any supplements or medications that may affect your nutrition?" question flags anything that could influence dietary advice. After submitting, respondents see a confirmation screen telling them their coach will review their answers and be in touch before the first session.
Try the conversation below to see how this template works
Trusted by over 10,000 customers and growing
Conversations Started
Questions Answered
Forms Created
Rely on the "Do you have any diagnosed medical conditions relevant to your diet?" and supplements questions to flag clinical considerations before the first appointment.
Use the "How many days per week do you currently exercise?" and "What are your primary nutrition goals?" questions to align nutrition advice with each client's training load and performance targets.
Lean on the "What is your biggest challenge when it comes to eating well?" and "How would you describe your current eating habits?" questions to identify mindset and habit barriers from the very start.
AI builds and refines your form through natural conversation no templates, no complex logic, no coding. From a simple text prompt or URL, Dashform generates intelligent flows that adapt automatically.
Dashform turns traditional form-filling into a two-way dialogue. The AI understands intent, remembers context, and asks relevant follow-up questions just like a real human conversation.
Every response is transformed into structured, meaningful, and ready-to-use data. Integrate with your favorite tools.
Everything you need to create amazing forms
Everything you need to know about this template
Don't see exactly what you need? Use our AI Form Generator to create a custom form in seconds. Just describe what you want, and AI will build it for you.
Explore more templates to find the perfect fit
General RequestA simple referral form that captures both sender and friend details, plus an optional personal message, to share a product or service recommendation.
WaiverCollect scoped, time-limited consent to access specific account information for eligibility reviews or service offerings.
Customer FeedbackCollect written testimonials, star ratings, and optional media from customers in one tidy, seven-question form.
File UploadCollect video testimonials with contact info, a satisfaction rating, feature highlights, and clear marketing consent.
BookingLet hotel guests request spa, dining, transport, tours, and more — with date, time, party size, and special notes.
Appointment BookingBook a therapy appointment by sharing your contact details, preferred time, and reason for visiting.
Learn how to get the most out of your forms and templates
Stop spending hours on unqualified discovery calls. AI intake forms qualify fitness clients on goals, budget, and commitment before they book.
Learn how to create a free NPS survey in minutes with Dashform. Measure customer loyalty, collect actionable feedback, and improve retention — without expensive enterprise software.
Google Forms 2026 features compared with Dashform: conditional logic, question types, AI generation, integrations. When Google Forms is enough, when to upgrade.
Try the world's first AI-native form and turn every response into action instantly.