Nutrition Assessment Form Template

If you're a nutritionist or running a wellness website, you might be looking to create an interactive nutrition evaluation form. And that's a great idea! It's relatively easy to objectively evaluate the nutrition of people based on a number of criteria such as habits (like drinking or smoking), the frequency and intensity of physical exercise (usually measured weekly), and eating patterns.

Instead of starting from scratch, you might instead duplicate the form template below and tailor it to your needs. Just click the button "Use this template" to make it yours.

You might have noticed that we've broken down this form into four pages. Each page has its own title and distinct sets of questions. This helps to make your form less intimidating and easier to fill out. We also added a progress bar below — it gamifies the form a bit, and your responders can almost guess how many form-pages are ahead of them.