Pre-appointment questionnaire

Personal Training: Available 7 days per week (bookings essential).

Nutrition Consultations: Available Monday to Friday. Some Saturday appointments. Ph: (02) 6652 7529 and LEAVE A MESSAGE to let us know the best day and time to call you.

If you would like to see one of our Nutritionists, please answer the following questions and we will get back to you.

Invalid Input
Please let us know your name.
Invalid Input
Invalid Input
Invalid Input
Contact Details
Invalid Input
Invalid Input
Invalid Input
Please let us know your email address.
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Please tick the box to agree to our Cancellation Policy, thank you.
Payment and cancellation policy: ** We require full payment for telehealth consultations (phone and video / zoom) at least 2 business days prior to your appointment. ** In order to provide the best possible service, Coffs Coast Nutrition allocates up to 90 minutes for an initial consultation and 45 minutes for review consultations. We can only maintain this level of service if our clients provide sufficient notice when unable to attend. This allows us to offer the time slot to someone else requiring an urgent / earlier appointment.
For this reason we require at least 24 hours notice if you are unable to attend or need to reschedule. Appointments cancelled on the day of the appointment and no-show appointments will incur a $58.00 fee. This includes consultations carried out at Coffs Coast Nutrition as well as telehealth (phone or zoom / video) consultations. If for any reason you are running late for an appointment, please call to let us know.
We understand that emergencies sometimes occur, and in this situation we may consider waiving the cancellation fee.
If you are having trouble filling in the questionnaire, please phone Coffs Coast Nutrition (02) 6652 7529 and leave a message
Please tick the Security Check box, thanks!