We have 3 Nutritionists. If you wish to see Louise, please complete the following pre-appointment
questionnaire. If you are having trouble filling in the questionnaire, please phone Coffs Coast Nutrition
on (02) 6652 7529 and our receptionist will help you. You will need to leave a message if the phone is
If you would like to see one of our other Nutritionists, you will not need to complete the questionnaire.
Select the appropriate box to indicate approximately how often each item is consumed:
Fruit and vegetables
Dairy and alternatives
Bread and cereals
Meat, fish, chicken
Fats & oils
How much time do you have available for meal preparation per day?
List the type & amount of exercise that is carried out
Swimming & aqua-fitness
What types of food & drinks do you consume (no need to list water)