7. Nutrition & hydration¶

Filled by Client · Questions 33 · Time ~15 min · Prefix nut_*

Scope check

Only include this section if nutrition is within your scope of practice and your registration allows it. Where it isn't, cut the section down to 7.1, 7.3 and 7.7 — enough to train the client safely and to know when to refer to a dietitian. The food frequency grid in 7.2 in particular is a dietitian's tool.

7.1 Typical intake¶

ID	Question	Type	Options / units	Req.
`nut_typical_day`	Walk us through what you ate and drank yesterday, from waking to bed.	Long text	Include drinks and snacks	Yes
`nut_typical_representative`	Was yesterday typical?	Single choice	Yes / No, better than usual / No, worse than usual	Yes
`nut_meals_per_day`	How many meals and snacks on a normal day?	Number	count	No
`nut_first_meal`	When do you usually eat your first meal?	Short text	Time of day	No
`nut_last_meal`	When do you usually eat your last meal?	Short text	Time of day	No
`nut_weekend_differs`	Do weekends look different from weekdays?	Long text	—	No

7.2 Food frequency¶

A frequency grid, adapted from the food table on the practitioner sheet. It catches what a 24-hour recall misses — the client who reports a clean Tuesday and eats very differently the rest of the week.

ID	Question	Type	Options / units	Req.
`nut_ffq`	How often do you eat each of these?	Matrix	Columns: Daily · A few times a week · Weekly · Occasionally · Never. Rows: see the group list below	Yes
`nut_ffq_notes`	Anything about your eating the grid doesn't capture?	Long text	—	No

Rows for nut_ffq:

Group	Examples to show the client
Bread & baked goods	Bread, rolls, pita, bagels
Crackers & crispbreads	Crackers, rice cakes, breadsticks
Breakfast cereals	Cereal, granola, oats
Rice, pasta & grains	Rice, pasta, couscous, buckwheat, ptitim
Starchy vegetables	Potato, sweet potato, corn, chips
Legumes	Lentils, chickpeas, beans, peas
Salad vegetables	Tomato, cucumber, pepper, carrot, radish, beetroot
Leafy greens & herbs	Lettuce, spinach, rocket, parsley, coriander, dill
Cruciferous & other cooked vegetables	Broccoli, cauliflower, cabbage, courgette, aubergine, mushrooms, pumpkin
Fresh fruit	Apple, banana, berries, melon, grapes, stone fruit
Dried fruit	Dates, raisins, figs, dried mango
White cheeses & yoghurt	Cottage, labneh, Bulgarian, plain yoghurt
Hard & yellow cheeses	Yellow cheese, goat's cheese, cream cheese
Milk & milk alternatives	Cow's milk, oat, soy, chocolate milk
Sweetened dairy desserts	Fruit yoghurt, dairy desserts
Eggs	Boiled, omelette, fried, shakshuka
Fish	Salmon, tuna, mackerel, sardines, sea bass, tilapia
Poultry	Chicken breast, thighs, turkey, schnitzel
Red meat & offal	Beef, goulash, liver, hearts
Processed meat	Salami, pastrami, sausages, burgers
Plant proteins	Tofu, seitan, soy
Nuts & seeds	Almonds, walnuts, cashews, sunflower, pumpkin, chia, flax, sesame
Oils & fats	Olive, canola, sesame, coconut oil
Spreads & dips	Tahini, hummus, avocado, mayonnaise
Savoury snacks	Crisps, Bamba, Bisli, pretzels, nachos
Fried & street food	Falafel, shawarma, bourekas, jachnun, malawach, pizza
Cakes, biscuits & pastries	Cakes, biscuits, wafers
Chocolate, sweets & ice cream	Chocolate, sweets, ice cream
Sweetened drinks	Cola, squash, iced coffee, milkshakes, energy drinks
Hot drinks	Coffee, instant coffee, tea
Water	—
Alcohol	Wine, beer, spirits

Localise the examples, keep the groups

The examples above follow the source sheet and are Israeli by default — ptitim, jachnun, Bamba, bourekas. That specificity is the point: clients recognise their own food and answer accurately, where "refined grains" gets a shrug. Swap the examples for whatever your clients actually eat, but keep the group structure so answers stay comparable between clients.

A frequency grid is not a diet analysis

nut_ffq shows patterns — no vegetables, daily sweetened drinks, protein only at dinner. It does not produce an intake estimate, and it should not be scored or converted into calories. If you need that, refer to a dietitian.

7.3 Dietary pattern & restrictions¶

ID	Question	Type	Options / units	Req.
`nut_pattern`	Do you follow a particular way of eating?	Single choice	No specific pattern / Vegetarian / Vegan / Pescatarian / Halal / Kosher / Low carb or keto / Paleo / Intermittent fasting / Mediterranean / Other	Yes
`nut_pattern_other`	Describe it.	Short text	—	Cond.
`nut_intolerances`	Any food allergies or intolerances?	Long text	Include severity	Yes
`nut_dislikes`	Any foods you strongly dislike or won't eat?	Long text	—	No
`nut_medical_diet`	Are you on a diet prescribed for a medical reason?	Yes/No	—	Yes
`nut_medical_diet_detail`	Who prescribed it, and what does it involve?	Long text	—	Cond.
`nut_eating_limitation`	Is any injury, pain or physical limitation affecting how you eat — chewing, swallowing, shopping, standing to cook, or getting food to your mouth?	Yes/No	—	Yes
`nut_eating_limitation_detail`	Explain how.	Long text	—	Cond.

nut_pattern_other → if nut_pattern = Other nut_medical_diet_detail → if nut_medical_diet = Yes nut_eating_limitation_detail → if nut_eating_limitation = Yes

Why a physical question sits in the nutrition section

nut_eating_limitation used to live in section 4 under an inj_* ID, where it displaced that section's pain-location question and never reached anyone reading the nutrition record. It belongs here: a shoulder that cannot reach a cupboard changes what the client eats, and it is the nutrition plan, not the exercise exclusion list, that has to absorb that.

7.4 Cooking & environment¶

ID	Question	Type	Options / units	Req.
`nut_who_cooks`	Who does most of the cooking in your household?	Single choice	Me / Partner / Shared / Someone else / Nobody, we eat out or order in	No
`nut_cooking_confidence`	How confident are you cooking from scratch?	Scale 1–5	1 = not at all, 5 = very	No
`nut_meals_out`	How many meals per week are eaten out, ordered in, or bought ready-made?	Number	meals	No
`nut_who_shops`	Who does the food shopping?	Single choice	Me / Partner / Shared / Someone else	No
`nut_household_eating`	Does anyone you live with eat very differently from you?	Long text	—	No

7.5 Hydration & stimulants¶

ID	Question	Type	Options / units	Req.
`nut_water`	How much water do you drink on a typical day?	Single choice	Under 1 L / 1–2 L / 2–3 L / Over 3 L / No idea	Yes
`nut_caffeine`	How many caffeinated drinks per day?	Number	cups or cans	No
`nut_caffeine_latest`	When do you consume caffeinated beverages?	Multi-select	Immediately after waking / Morning / Noon / Afternoon / Evening / Night / No specific time	No
`nut_beverage_sugar`	Do you add sugar or a sugar substitute to your beverages?	Yes/No	—	No
`nut_sugary_drinks`	Sugary or energy drinks per week?	Number	drinks	No

Tea counts

nut_caffeine is routinely under-reported because clients count coffee and energy drinks but not tea. Black, green and white tea all contain caffeine, as do matcha and most iced teas. Say so next to the question — herbal and rooibos infusions are the exceptions.

No specific time in nut_caffeine_latest is an exclusive escape option: selecting it clears every other option, and selecting any other option clears it.

Alcohol is captured once, in section 2 as health_alcohol_units. Don't duplicate it here.

7.6 Tracking & training nutrition¶

ID	Question	Type	Options / units	Req.
`nut_tracked_before`	Have you tracked your food before?	Single choice	Currently tracking / Have before, not now / Never / Tried and disliked it	Yes
`nut_tracking_app`	Which app?	Short text	—	Cond.
`nut_around_training`	Do you eat before or after training?	Long text	—	No

nut_tracking_app → if nut_tracked_before is Currently tracking or Have before, not now

Supplements are not asked here. They are captured once in section 2 as health_supplements. If the client raises them, record against that ID and carry it forward — do not open a second supplement conversation.

7.7 Relationship with food¶

Handle with care

These questions can surface an eating disorder. Ask them plainly, without follow-up interrogation in the form itself, and make every one skippable. A positive answer to nut_disordered_history is a referral to a registered dietitian or clinician — not a prompt to design a stricter plan, and not a reason to run section 9.

This is a referral, not a stop — do not end the call

nut_disordered_history = Yes is not a stop condition. Do not deliver the stop wording, do not hand to stop & refer, and do not end the questionnaire. Follow sensitive questions: thank them, say it will shape how the coach works with them, and carry on with the next question. The referral is made by the coach from the handover record, after the call.

Stopping here punishes the disclosure. A client who is told the interview is over the moment they mention a history of anorexia learns that honesty ends the call — and the section's remaining questions, including nut_support_wanted, are exactly the ones the coach needs answered in that case.

ID	Question	Type	Options / units	Req.
`nut_appetite`	How would you describe your appetite?	Single choice	Low / Normal / Large / Varies a lot	No
`nut_emotional_eating`	Do you eat in response to stress, boredom or emotion?	Single choice	Often / Sometimes / Rarely / Never / Prefer not to say	No
`nut_disordered_history`	Have you ever had, or been treated for, a diagnosed eating disorder?	Single choice	Yes / No / Prefer not to say	No
`nut_support_wanted`	How much nutrition support would you like?	Single choice	Full plan / General guidelines / Just accountability / None, training only	Yes

7.8 Red flags¶

Flag	Source field	Typical modification
Eating disorder history	`nut_disordered_history`	No weighing, no measurements, no photos, no calorie targets; refer to a dietitian

This section has no Stop and refer immediately entry — the one flag it carries is a caution flag, acted on by the coach after the call, not during it. See the warning in 7.7. Full outcome definitions: Screening red flags.

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