Here is a Nutritional Assessment Questionnaire that is useful for health institutions to learn more about patients' eating habits through asking about their blood sugar, fatty acid, inflammation, toxicity and eating habits such as how many times do they eat per day or if they smoke, etc. You can customize the template by adding your logo, adding/removing fields, including your visual and informative content, add more questions with dropdown, multi-select options, change the color, font, and background and either embed it to your website or use it as a standalone form.
Try the conversation below to see how this template works
Trusted by over 10,000 customers and growing
Conversations Started
Questions Answered
Forms Created
Healthcare providers can utilize this questionnaire during initial patient consultations. It helps to quickly gather comprehensive dietary and lifestyle information, aiding in the development of personalized treatment plans.
Organizations running wellness programs can deploy this form to assess participants' nutritional starting points. This data allows for tailored guidance and tracking of dietary improvements over time.
Nutritionists and dietitians can use this form to prepare for client sessions. Collecting detailed insights into eating habits and health concerns beforehand streamlines consultations and focuses advice.
Why you are switching to AI forms.
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
Explore more templates to find the perfect fit
This form helps companies inform employees about potential contagious disease exposure and outline necessary quarantine procedures for workplace safety.
View templateEfficiently schedule and manage customer visits by collecting contact details and purpose of visit with this customizable appointment form.
View templateStreamline your fundraising efforts with this efficient Charity Donation Form. Designed for individuals and organizations, it provides a straightforward way to request and collect contributions. Quickly set up a professional-looking interface that encourages generosity and simplifies the giving process for your supporters. This template helps you gather essential donor information and process donations effectively, ensuring your cause receives the support it needs to thrive.
View templateCollect demographic data, opinions, and ideas from employees or citizens to support diversity initiatives within your organization or community.
View templateA formal waiver protecting sports facilities by securing participant acknowledgment of risks and release of liability for injuries during activities.
View templateA comprehensive application form for schools and educational institutions to collect essential details, experience, and narrative responses from potential teaching candidates.
View templateTry the world's first AI-native form and turn every response into action instantly.
This questionnaire helps health institutions gather essential information about your eating habits and health indicators. Your responses will provide valuable insights into aspects such as blood sugar, fatty acid levels, inflammation, and potential toxicity.
