NUTRIENTFY Client Form

Create Your Personalized Nutrient Repletion Diet Plan
Within 5-7 business days of submitting this form, you will receive an email from Nutrientfy's WeTransfer account with instructions to access your Personalized Nutrient Repletion Diet Plan.
Your Contact Information
Name

First NameLast Name
Email

Choose Your Dietary Eating Style
Select the eating style that feels right for you. If you're unsure, click here to compare each diet type. Just be sure to come back to this form when you're done!
Choose One:

Select Your Calorie Range

Select the calorie range that feels right for you.
Choose One:

1200-1400 Calories Per Day1400-1600 Calories Per Day1600-1800 Calories Per Day1800-2000 Calories Per Day2000+ Calories Per DayI just want to eat healthy and not focus on calories

Select Your Macronutrient Ratio

Select the macronutrient ratio that feels right for you.
Choose One:

High Protein Moderate Carb: Protein 40%, Carbs 35%, Fat 25%High Protein Low Carb: Protein 45%, Carbs 20%, Fat 35%Endurance Training: Protein 25%, Carbs 55%, Fat 20%Active Lifestyle: Protein 30%, Carbs 45%, Fat 25%Weight Management: Protein 35%, Carbs 30%, Fat 35%I Just Want to Eat Healthy and Not Focus on Macronutrient Ratios

Select Your Micronutrient Focuses

Select up to 10 vitamins, minerals, amino acids, fatty acids, or phytonutrients to enhance your personalized dietary plan! Based upon your selection, we will add the top whole food sources of the nutrients you selected into your recipes.
Select Up to 10 Nutrients:

Recipe & Meal Plan Personalization

Be as specific as possible! The more information you share, the more personalization you will receive in your recipes & meal plans.
List all foods to AVOID based on your food sensitivities or allergies. Please avoid listing general food groups as an answer; be as specific as possible
DO: Almonds, Walnuts, Salmon, Shrimp
DON'T: Nuts, Seafood

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List up to 10 of your FAVORITE foods to eat
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List up to 10 foods that you DO NOT like to eat or DO NOT want included in your recipes and meal plans
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LAST STEP!

Once you have submitted this form, your Personalized Nutrient Repletion Diet Plan will be sent to you via Nutrientfy's WeTransfer within 5-7 business days.

Checkout*

Personalized Diet & 1 Week of Custom Meal Plans, Recipes, & Grocery Lists

$149.00

Additional Weekly Custom Meal Plans, Recipes, & Grocery ListsPurchase 2 or more additional weekly meal plans and receive $5 off for every week added. Discount is auto-calculated.

$50.00 Quantity

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Create Your Personalized Nutrient Repletion Diet Plan

Your Contact Information

Choose Your Dietary Eating Style

Select Your Calorie Range

Select Your Macronutrient Ratio

Select Your Micronutrient Focuses

Recipe & Meal Plan Personalization

Recipe & Meal Plan Personalization (Continued)

Recipe & Meal Plan Personalization (Continued)

LAST STEP!