Fluent Forms Template Library

Meal Plan Request Form Template

A complete meal plan request form to collect health data, lifestyle, diet preferences & fitness goals.

Meal Plan Request Form

Meal Plan Request Form (#284)
  • BMI
  • Age & Gender
  • Exercise
  • Preference
  • Contact

personalized meal plan request form cover image

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About this template...

Designed for nutritionists and dietitians, this personalized meal plan request form helps you gather everything you need to create tailored diet plans. Clients enter their height and weight, and the form automatically calculates their BMI to save you time. It also collects age, gender, activity level, and workout frequency to paint a complete picture of their lifestyle.

What’s more, it allows users to select their diet preferences, such as gluten-free, lactose-free, kosher, vegan, etc.  This ensures your recommendations align with each client’s needs. Clients also share their fitness goals, whether it’s losing fat, gaining strength, or building muscle, so you can craft a plan that fits their objectives.

Ready to import and fully customizable, this template helps you deliver foolproof meal plans with confidence. Whether you’re generating leads or offering customized solutions, just embed it on your site, customize as needed, and start collecting requests today.

Meal Plan Request Form

Features of this Template

  • A complete meal plan request form designed for nutritionists, dietitians, and health & wellness professionals.
  • Collects height & weight and automatically calculates the BMI.
  • Captures age, gender, activity level, and workout frequency for a complete client profile.
  • Features diet preference options, like gluten-free, lactose-free, kosher, vegan, & more.
  • Fitness goal selection, like fat loss, strength gain, muscle building, etc.
  • Can be used as lead magnets or to provide custom solutions.
  • Easy to customize to match your practice and branding.