Intake : Fueling Recovery Kickstart
These questions help me understand where you’re at right now so I can tailor the kickstart to your real life—your symptoms, your schedule, and what’s actually getting in the way. There are no “right” answers and zero judgment here; the more honest and specific you are, the more helpful I can be. Plan on about 10–15 minutes, and if you’re not sure on something, just write what you can.
Quick privacy note: Confidentiality matters here. Your info isn’t shared with anyone. I only collect what I need to coach you well—and you can skip any question that feels too personal. That said, the more you share, the better I can support you (and the more specific I can make your plan). Educational nutrition coaching only — not medical advice or treatment. If you’re under medical or mental health care, this can complement it, not replace it. In an emergency, call 911. Read our Medical Disclaimer.
The Basics
Recovery + current support
1. How long have you been alcohol-free?
2. What kind of support are you currently using (AA/SMART/CR/therapy/church group/friends/family/etc.)?
Biggest struggles + goals
3. What’s your biggest struggle right now (cravings, mood, sleep, energy, gut, something else)?
4. When is it hardest for you to stay on track (time of day / situation / emotion)?
5. What are your top 1–3 goals for the next 30 days?
Symptoms + body signals
6. What symptoms are you dealing with most right now (physically and mentally)?
7. How’s your sleep lately (falling asleep, staying asleep, waking up early, nightmares, etc.)?
8. How’s your digestion lately (bloating, reflux, constipation/diarrhea, “normal,” etc.)?
9. Do you notice blood sugar swings (shaky, lightheaded, energy crashes, “hangry,” late-night sugar)? If yes, describe.
Food snapshot + practical barriers
10. Walk me through what you ate and drank yesterday (no judgment — just data).
11. What’s your biggest barrier with food right now (time, cravings, budget, cooking, stress, appetite, confusion, other)?
12. What does your kitchen situation look like (access to fridge/stove/microwave, travel schedule, etc.)?
13. Any food allergies, intolerances, or “hard no” foods?
Medical + safety
14. Any medical conditions you think I should know about (blood sugar, blood pressure, GI issues, liver concerns, etc.)?
15. Any medications or supplements you’re currently taking that might affect sleep, mood, appetite, or digestion?
16. Are you currently working with a doctor/therapist/clinic? If yes, what kind of support?
17. Anything in your history with food/body/weight that I should be careful with so this stays supportive?
Coaching style + accountability
18. What kind of coaching works best for you (gentle, direct, structured, flexible, etc.)?
19. How do you want to be held accountable (what helps, what doesn’t)?
20. What does a “good week” look like for you in real life (not perfect life)?
21. What do you NOT want from this program/coaching (shame, diet culture, extreme rules, etc.)?
Motivation + readiness
22. Why does this matter to you right now?
23. What’s one thing you’re hopeful will change if your nutrition gets steadier?
24. What has worked for you before (even a little)? What didn’t?
25. How much time can you realistically give this per day?
26. What might get in the way of finishing—and what’s your plan when that happens?
Final Thought
27. If this works and you’re seeing changes, are you open to continuing with a paid coaching plan so we can keep building on it? What would you need to feel good about that decision?