Nutrition Intake — Core Rhythm Fitness
Core Rhythm Fitness
Core Rhythm Fitness

Whole Body Intake

This isn't a medical form. It's a conversation starter. Your answers help your nutritionist walk into your first session already understanding your rhythm — so we skip the surface and get to the work.

Step 1 of 5
01

Who You Are

The basics — so we know who we're building this for.

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Please enter a valid email.
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This helps your nutritionist coordinate directly with your movement program.
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Please select at least one.
02

Your Why

We don't start with a meal plan. We start with what's driving you.

"Rhythm over routines. Long-term over quick fixes. Conversation over transaction."
— That's how we build. Help us understand what you're building toward.
Not the polished version. The real reason. What shifted?
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The habits, the patterns, the things you've tried that didn't stick.
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This question isn't meant to scare you. It's meant to clarify what's at stake.
Go beyond "lose weight." We're interested in the whole picture — energy, confidence, longevity, how you show up in your life.
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03

Your Current Reality

We design health to work inside real life — not around an ideal version of it.

Give us your real day. Not the day you wish you had. That's the only way we can meet you where you actually are.
Include everything: coffee, water, snacks, alcohol, skipped meals. Times help too.
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Do they look completely different? More social eating? Less structured?
When do you wake, when do you eat your first and last meal, when do you wind down?
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I burn water I love cooking
We build plans that travel with you. We just need to know how often.
04

Body, Energy & Signals

Your body is already telling you things. Let's make sure we're listening.

Approximate is fine. Never used for judgment — only to calibrate guidance.
Diabetes, thyroid, blood pressure, PCOS, autoimmune, history of disordered eating, etc.
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Lactose, gluten, nut allergy, vegetarian, halal, kosher, etc.
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Select everything that applies.
We're not here to repeat what didn't work. Tell us what happened.
05

Relationship, Readiness & Commitment

This is where we go deeper. The more honest you are here, the more powerful your first session will be.

We're side-by-side with you to build something that lasts. But we need to know where you're really starting from.
Complicated? Stressful? Pretty good but inconsistent? Emotional? Disconnected? Whatever it is — name it.
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Stress, boredom, social settings, late-night habits, emotional comfort — whatever applies.
Time, stress, willpower, knowledge gaps, travel, social pressure — name the pattern.
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No judgment. We build around your life, not against it.
Photo logging, food journaling, check-ins with your nutritionist — this is part of how we work.
Still figuring it out I've been waiting for this
Please select your readiness level.
There's no wrong answer — we just want to meet your expectations.
Anything at all. Things you're nervous about. Things you're excited about. Context that matters.

Thank you.

Thank you for taking the time. The more we understand your rhythm, the better we can serve you.

If anything changes between now and your appointment, reach out to [email protected]

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