New Client Onboarding Form Name * First Name Last Name Email * Phone * (###) ### #### Goals * Please list the primary goals that you wanted to work towards Level of Support * How much detail and hands-on guidance would you like in your nutrition support? (Whilst obviously respecting boundaries) Maximum - Send me as many learning resources and check in as much as you can Somewhere in the Middle Minimum - No need for any extra fluff, just give me my numbers at my check ins and keep me accountable Consent to Share Results * Please select what level of consent you give to have any nutrition wins shared publicly e.g. on social media. (This will always be done in a way to respect client confidentiality and privacy) Happy to have my successes and wins shared, and be tagged/identified as the client Happy to have my successes and wins shared as long as they are de-identified Please consult me first before sharing any of my successes or wins publicly Graduation * What would graduating from my services look like for you? Achieved the goal you set out at the beginning Achieved the goal you set out, you are maintaining it, and have a better lifestyle and relationship with food You have the nutritional literacy and skills to create your own plans and keep yourself accountable Terms and Conditions * Please confirm you have read and agreed to the patient terms and conditions form here: https://docs.google.com/document/d/1dW6tqztwYaidzzmjaI_q2TqNB9qmMY89/edit?usp=sharing&ouid=108997071162258055392&rtpof=true&sd=true Agree to Terms and Conditions Payment * Please confirm you agree to the specific payment terms outlined in your welcome email and our authorisation to act on those payment terms Agree to Payment Terms Thank you!
