Get Canada Source Centre For Health & Wellness Holistic Nutrition Intake Forms 2015-2025

Completing the Canada Source Centre For Health & Wellness Holistic Nutrition Intake Forms online is an essential step in beginning your journey toward improved health and wellness. This guide provides a structured and straightforward approach to assist users in accurately filling out this important document.

Follow the steps to successfully complete your intake forms online.

1. Click the 'Get Form' button to access the intake form and open it in your preferred editor.
2. Enter your client name in the designated field to identify your form submission accurately.
3. Fill in your age, sex (select 'M' or 'F'), height, and weight in the respective fields to provide a complete profile.
4. List your main health concerns or complaints in order of importance in the provided space to help your nutritionist understand your needs.
5. Rate your current diet on a scale from 0 to 10, where 10 is the healthiest. Use the numerical options presented to select the appropriate rating.
6. Indicate any dietary restrictions that apply to you by checking the corresponding boxes, such as 'Vegan,' 'Gluten-free,' or 'Dairy-free.' If applicable, state any other restrictions in the provided space.
7. Rate your current exercise or physical activity levels on a scale from 0 to 10, again using the given numerical options to convey how active you are.
8. Evaluate your stress levels using the scale provided, from 0 (no stress) to 10 (high stress), to inform your practitioner of your current stress situation.
9. Specify if you are currently taking any medication by selecting 'Yes' or 'No'. If affirmative, list all medications and the reasons for taking them in the space provided.
10. Indicate whether you have taken antibiotics over the last five years by selecting 'Yes' or 'No.'
11. List any vitamins, minerals, herbal, or homeopathic remedies you are currently taking, including dosages, in the designated area.
12. Complete the allergy section by stating whether you have any allergies or sensitivities and listing them if applicable.
13. For women only, indicate your current pregnancy status, use of birth control pills, or breastfeeding status by selecting 'Yes' or 'No.'
14. Rate any additional symptoms you may be experiencing by checking the relevant boxes with assigned numbers or circling the appropriate codes.
15. Review all provided information for accuracy and completeness.
16. Once satisfied with your entries, save changes, download, print, or share the form as necessary.

Start completing your Canada Source Centre For Health & Wellness Holistic Nutrition Intake Forms online now for a tailored approach to your health!