How much water do you drink per day?

What is your typical intake of alcoholic beverages per week?

Do you have any digestive discomfort after meals? If yes, please be specific about symptoms and foods; bloating, gas, pain, cramping, etc. Have you determined which foods cause this discomfort? If so, please list them and the accompanying symptoms.

Do you have any foods that feel "safe" to you? (comfort foods)

Do you have any foods that feel like binge foods to you? (you tend to lose control when this type of food or item comes around)

What is the average time after eating your evening meal before going to bed?

Please briefly outline the structure of your day related to food. For example, where are your meals typically eaten, how much time do you have for each meal and meal preparation, do you eat 3 solid meals or snacks throughout the day, etc.?

Please list your primary reasons for eating or skipping meals in as much detail as possible, for example, hunger, food cravings, stress, boredom, depression, anxiety...

Please outline your typical sleep patterns, including the time you go to bed and wake up and any difficulty falling asleep or staying asleep.

How are your energy levels throughout the day? Are there particular times of day when your energy levels are high or low?

Please give some examples of what you consider a healthy diet. For example, plant-based, low-carb, low-fat, avoidance/inclusion of specific foods, etc.

Please briefly describe your childhood diet. Many people develop core beliefs around food from patterns established at a young age.

Which foods do you tend to crave the most (salty, sweet, carbs, crunchy, etc.)?

List your general dietary goals in as much detail as possible. Please describe if you are already following a specific diet to address a health concern.