Nutrition Plan Feedback Form

Nutrition Plan Feedback Form — Form Fields

This feedback template includes 11 fields. Collect client feedback on meal plan quality, nutritionist guidance, ease of following, and results. Free to customize and use on ZenBuild.

• Your Name (text, optional)
• Email Address (email, optional)
• Plan Duration (dropdown selection, required) — options: 1 Week, 2 Weeks, 1 Month, 3 Months, 6 Months, Ongoing
• Goal (dropdown selection, required) — options: Weight Loss, Muscle Gain, General Health, Athletic Performance, Medical / Therapeutic
• Meal Plan Variety (rating, required)
• Ease of Following the Plan (rating, required)
• Nutritionist Communication (rating, required)
• Results Achieved (rating, required)
• Overall Value (rating, required)
• Are You Still Following the Plan? (multiple choice, required) — options: Yes, Modified Version, Completed, No Longer Following
• What Was Most Helpful? What Would You Change? (long text, optional)