Questionnaire - Eat With Ruwi

Hi! Let's start with you

The basics to get to know you better

What's your name?

Your email

How old are you?

Gender

Female Male Other Prefer not to say

What kind of work do you do?

Desk job

Office, remote work, mostly sitting

On my feet sometimes

Retail, teaching, healthcare

Physical/active job

Always on the move

At home / not working

Homemaker, job seeking, retired

Do you have children?

No Yes, young (0-6) Yes, older (7+) Yes, mixed ages

Your body today

Where we're starting and where you want to go

Current weight (kg) Approximate is fine

Height (cm)

What's your main goal?

Lose weight

Tone up / body recomposition

Eat healthier

More energy / less fatigue

What weight would you like to reach? (kg) Just an indication, we'll discuss together

📷

I'll ask you for starting photos (front, side, back) via WhatsApp after we connect. They'll remain completely private.

Your health

To create a safe plan tailored to you

Do you have any food allergies or intolerances?

None Lactose Gluten Nuts Shellfish Eggs Other...

Please specify your allergies/intolerances

Do you have any medical conditions I should know about? Select all that apply

None Thyroid Diabetes PCOS High blood pressure High cholesterol Other...

What other conditions?

Do you take any medications or supplements regularly?

No Yes

Which medications or supplements?

Are you currently pregnant or breastfeeding?

No Pregnant Breastfeeding

How is your menstrual cycle?

Regular Irregular Absent Prefer not to say

How do you feel?

Understanding how your body responds helps me a lot

How do you usually feel after meals? Select all that apply

Good, no problems Often bloated Heavy / slow digestion Heartburn / acid reflux

Are your bowel movements regular?

Yes, regular Tend to be constipated It varies

How much water do you drink per day?

Less than 1L 1-1.5L 1.5-2L More than 2L

How you eat today

No judgement, I just need to understand where we're starting from

💡

Think about a typical week, not a perfect week

How many main meals do you have per day? (breakfast, lunch, dinner)

1 2 3 It varies

How many snacks do you usually have per day?

None 1 2 3+

What does your typical meal schedule look like? Approximate times are fine

Early (7am-12-6pm) Standard (8am-1pm-7pm) Late (skip breakfast, late dinner) No fixed routine

Which meal is the most challenging for you?

Breakfast Lunch Dinner Snacks None

How are you in the kitchen?

Not really my thing

I need very simple recipes

I know the basics

Simple but tasty dishes

I enjoy cooking

I can follow more elaborate recipes

How much time do you have to cook (on average)?

Very little 15-20 min 30 min No rush It varies

Tell me more about your cooking time

How often do you have to eat out because you can't bring your own meal? Work lunch, travel, social events, etc.

Rarely / never 1-2x/week 3-4x/week Almost daily

What type of meals are these usually?

Canteen Restaurant/cafe Takeaway Ready meals

Any details about these situations? e.g. Work lunches, client meetings, kids activities...

How often do you drink alcohol?

Never Rarely 1-2x/week 3+/week

What do you usually drink? e.g. Wine with dinner, beers on weekends, cocktails...

Your tastes

To create a plan you'll actually enjoy

Are there foods you absolutely DON'T eat? Select those you want excluded from your plan

🐟 Fish 🥩 Red meat 🍗 Chicken 🥚 Eggs 🫘 Legumes 🥦 Some vegetables 🧀 Dairy Other... I eat everything!

What other foods do you want to exclude?

Which vegetables don't you like?

Do you follow a specific diet?

No Vegetarian Vegan Other

What diet do you follow?

Are there dishes or foods you particularly love? I'll try to include them in your plan

Final details

We're almost done!

How active are you during the day?

Not very

Less than 4,000 steps a day

Fairly active

4,000-8,000 steps a day

Very active

More than 8,000 steps a day

Do you exercise?

No Occasionally 1-2x/week 3+/week

What type of exercise? Select all that apply

🏋️ Gym/weights 🏃 Running 🚶 Walking 🏊 Swimming 🧘 Yoga/Pilates 🚴 Cycling ⚽ Team sports Other

Which?

How do you sleep?

Poorly So-so Well

How many hours do you usually sleep?

Less than 5 5-6 hours 6-7 hours 7-8 hours More than 8

Your stress level right now?

Zen 🧘 Under pressure 😵

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Is there anything else you'd like to tell me? Anything you think might be useful for me to know

Review your answers

Double-check everything before sending.

Once submitted, you'll receive a confirmation ID. Keep it for support or follow-up.

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Your questionnaire has been securely received. I'll be in touch soon to start your journey together.

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