Nutrition Assessment Form at WKU Nutrition Services
This Nutrition Assessment Form is designed for individuals seeking guidance on their dietary habits and health goals. It collects essential information like medical history and activity level to tailor nutritional advice. Suitable for students, faculty, and community members interested in improving their nutrition.
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How do I fill this out?
To fill out this form, start by providing your personal information like name, phone number, and email address. Next, answer questions regarding your medical and social history, dietary habits, and activity levels. Finally, review your responses for accuracy before submitting the form.

How to fill out the Nutrition Assessment Form at WKU Nutrition Services?
1
Begin by entering your personal information.
2
Provide details about your medical and social history.
3
Indicate your dietary habits and preferences.
4
List any physical activity goals you may have.
5
Review your answers for accuracy and submit the form.
Who needs the Nutrition Assessment Form at WKU Nutrition Services?
1
Students looking to improve their eating habits for better academic performance.
2
Faculty members who wish to enhance their health and well-being.
3
Community members interested in nutritional guidance.
4
Athletes aiming to optimize their diets for performance.
5
Individuals with specific health concerns seeking professional advice.
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What are the important dates for this form in 2024 and 2025?
There are no specific deadlines for submitting the Nutrition Assessment Form, making it convenient for individuals to fill it out at their own pace. However, we recommend completing and submitting the form as early as possible, especially for those looking to enhance their nutrition for academic or athletic purposes.

What is the purpose of this form?
The purpose of this Nutrition Assessment Form is to gather comprehensive information that can be used to tailor individual nutritional advice. By providing details about your medical and social history, activity level, and dietary habits, our nutrition services can better assist you in achieving your health goals. This form is a crucial step in understanding your unique dietary needs and developing strategies for improvement.

Tell me about this form and its components and fields line-by-line.

- 1. Personal Information: Includes name, contact details, and identification type.
- 2. Medical History: Questions related to heart disease, diabetes, medication usage, and dietary supplements.
- 3. Social History: Covers lifestyle choices, such as smoking and alcohol consumption.
- 4. Dietary Habits: Explores current eating patterns and any food preferences or restrictions.
- 5. Activity Level: Inquiries about physical activity and fitness goals.
- 6. Weight Assessment: Evaluates current and past weight and personal weight goals.
What happens if I fail to submit this form?
Failing to submit this form may result in missed opportunities for personalized nutrition counseling and support. Without the completed form, our nutrition specialists cannot effectively tailor their advice to your needs. Therefore, timely submission is crucial for receiving optimal guidance.
- Missed Nutrition Guidance: You may not receive the personalized dietary advice that could help you achieve your health goals.
- Delayed Support: Without timely completion, you may experience delays in receiving necessary support and resources.
- Inaccurate Recommendations: Incomplete forms result in less accurate dietary recommendations.
How do I know when to use this form?

- 1. Checking Nutrition Habits: Ideal for individuals wanting to evaluate their dietary habits and make improvements.
- 2. Setting Fitness Goals: Useful for those training for athletic events or seeking physical enhancement.
- 3. Medical Necessity: Critical for individuals managing health conditions requiring nutritional oversight.
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What kind of information do I need to fill out?
You'll need to provide personal details, medical history, and dietary habits to complete the form.
Can I download the edited PDF?
Yes, once you've made your changes, you can download the edited PDF for your records.
Is there a limit to how many times I can edit the PDF?
No, you can edit the PDF as many times as necessary before downloading.
What if I forget to fill a section?
It's important to review your form before submitting to ensure all sections are completed.
Can multiple people fill out the same PDF?
Yes, you can share the PDF with others so they can fill it out as needed.
Is this form suitable for everyone?
This form is beneficial for students, faculty, and community members seeking nutritional guidance.
How do I submit the completed form?
You can submit the form via email or by printing it out and delivering it in person.