Nutritionist Consultation Feedback Form

Nutritionist Consultation Feedback Form — Form Fields

This feedback template includes 10 fields. Collect client feedback on nutritionist consultation quality, personalized guidance, and actionability of advice. Free to customize and use on ZenBuild.

• Your Name (text, optional)
• Email Address (email, optional)
• Consultation Type (dropdown selection, required) — options: Initial Assessment, Follow-Up, Meal Plan Review, Weight Management, Sports Nutrition, Medical Nutrition
• Nutritionist Knowledge and Expertise (rating, required)
• Clarity of Dietary Advice (rating, required)
• Personalization of Recommendations (rating, required)
• Overall Satisfaction (rating, required)
• Do you feel motivated to follow the plan? (multiple choice, required) — options: Very Motivated, Motivated, Somewhat, Not Motivated
• Would you recommend this nutritionist? (multiple choice, required) — options: Definitely, Probably, Unsure, Probably Not, Definitely Not
• Comments or Questions (long text, optional)