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Nutrition Questionnaire

Please fill out this questionnaire completely so we can create the best meal plan possible for you.
NOTE: Fields marked with a * are required and MUST be completed to submit this questionnaire.
Order Number*
Please enter your order number. Please note that plans without a valid order number will not be completed. If you need help finding your order number please email Hello@morellifit.com
First Name*
Age*
Phone Number
Incase we need to contact you
Email*
Gender*
- Male
- Female
Birthday*
Date Format: MM slash DD slash YYYY
Height (ft, in)*
If you're converting from centimeters, there are 2.54 centimeters per inch and 12 inches per foot.
Weight (lbs)*
If you are converting from kilograms, divide your weight in kilograms by 2.2 (there are 2.2 lbs / kilogram). If you're converting from stones, divide the number of stones by 14 (there are 14 lbs / stone).
Is this your first meal plan from us?*
- Yes
- No
Welcome back! How many meal plans have you completed before the plan you're requesting today?
For example, if this is your 6th meal plan, enter 5 into the box.
If you have it available, please upload your previous meal plan.
This will help us create your current meal plan faster.
Which body type best describes you? (Choose 1)*
- Ectomorph
- Mesomorph
- Endomorph
Before Picture (Front)
Drop files here or

Accepted file types: jpg, gif, png, jpeg.
Before Picture (Back)
Drop files here or

Accepted file types: jpg, gif, png, jpeg.
What do you consider to be your PRIMARY nutrition concerns? (Select all that apply)*
- Weight loss
- Energy level
- Meal preparation/planning
- Improve overall health
- Current eating habits
- Lack of motivation
- Abdominal fat
If your goal is weight loss or losing abdominal fat, how much weight do you have to lose?
- Less than 50 pounds to lose
- More than 50 pounds to lose
- Not applicable (my goal isn't weight loss)
Other Nutrition Concerns
Please list ANY medical conditions (ie. diabetes, high blood pressure, etc...)*
Do you have a lactose allergy?*
- Yes
- No
Do you have a casein allergy?*
- Yes
- No
Please list ANY prescribed medications you are currently taking on a regular basis:*
Please list ANY food/supplement allergies:*
Please describe your current work or school situation and activity level: (12-hour long shifts? Access to kitchen/stove/microwave? Convenience store? etc.)*
How many calories would you estimate you are currently consuming on a daily basis?
At what weight do you feel is ideal for you? (weight in lbs)*
If you are converting from kilograms, divide your weight in kilograms by 2.2 (there are 2.2 lbs / kilogram). If you're converting from stones, divide the number of stones by 14 (there are 14 lbs / stone).
Do you currently exercise?*
- Yes
- No
What time of day do you typically workout?
If YES: (Please include AMOUNT and TYPE of exercise (including ANY cardiovascular, weight training, group exercise classes, etc.), how many DAYS per week and how much TIME spent doing EACH activity. Also try to include your INTENSITY level (low, medium, high) for each exercise in order to gauge your current weekly calorie expenditure. Be as SPECIFIC as possible.)*
Do you currently follow a diet? (ie. Atkins, Vegetarian, Vegan, Low-Carb, Paleo, IIFYM, Gluten Free, etc.)*
- Yes
- No
- Other
Please Explain Your Diet*
Food Preferences
Carb Intake*
Like Dislike Willing to Try It
Sweet Potato
Oatmeal
Quinoa
White Potato
White Rice
Brown Rice
Ezekiel Bread
Fruit Intake*
Like Dislike Willing to Try It
Strawberries
Apples
Bananas
Blackberries
Raspberries
Oranges
Peaches
Mango
Vegatable Intake*
Like Dislike Willing to Try It
Broccoli
Green Beans
Spinach
Carrots
Asparagus
Zucchini
Kale
Tomatoes
Bell Peppers
Onions
Garlic
Romaine Lettuce
Cucumber
Milk Dairy Intake*
Like Dislike Willing to Try It
Raw Milk
Almond Milk
Cashew Milk
Coconut Milk
Cottage Cheese
Greek Yogurt
Cheese
Meat/Protein Intake*
Like Dislike Willing to Try It
Chicken
Turkey
Lean Beef
Bison
Tilapia
Shrimp
Salmon
Halibut
Tuna
White Fish
Eggs
Ham
Sausage
Bacon
Turkey Bacon
Tofu
Chickpeas
Black Beans
Whey Protein
Vegan Protein
Healthy Fat Intake*
Like Dislike Willing to Try It
Avocado
Almonds
Walnuts
Cashews
Pecans
Macadamias
Peanut Butter
Almond Butter
Cashew Butter
Coconut Oil
Olive Oil
Grass-Fed Butter
Please list any other foods not listed or that you would like to be considered/incorporated in your plan*
Would you like Dry Farm Wine included on plan?*
Dry Farm Wines is a monthly wine club with organic wines that are all natural, additive free and lab tested for purity. If you would like it on your plan, we'll include a link. Note: the monthly wine club subscription is not included in the price of your meal plan.
Would you like any of these options included on your plan?
- Pizza
- Dessert
- Ice Cream
- Pancakes
Now, what would YOU like to gain from your experience with morellifit nutritionists?*
Please include any additional information you feel is necessary that we should know about YOU. (The more we know about you and your habits the better)*

Contact

Email: Hello@morellifitt.com

Website: www.mfit.com

Address:

4620 East Elwood St Phoenix, AZ 85040,
United States

To positively impact the lives of 1 million people – transforming their bodies, helping them lose weight and live long, healthy, fulfilling lives.

That’s not the mission statement of a company, brand, or faceless organization.

That is, in fact, the statement of one man; and that man is on track to achieve it.

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