When I work with clients the misconception is often that I just āgiveā them a diet, since I am a dietitianĀ after all. Well that can sometimes be true it happens less than 3% of the time.Ā Identifying signs and symptoms to track for health and wellness is a big part of my job.
In order for me to offer my clients the best possible outcomes itās imperative that I consider the entire person and not just their food intake. And my job isnāt just to help them manage symptoms though sometimes thatās definitely where I may start. Itās actually, for me, to work with my client and help figure out the root cause of the symptom and help eliminate that.Ā
An initial part of my client process is often having them track a few things as they continue their current routine. Here are a few of the things we may be tracking:Ā
Social SituationĀ
If where they are eating, sleeping etc changes during the week that can impact symptoms that affect their food behaviours or health routines – so I will get them to note where they are throughout the day.Ā
Typical DayĀ
We generally walk through this during our initial kickstarter session but as Iāve mentioned before very often the client may share that itās not a ātypical dayā so they may record a few weekdays and at least one day of the weekend for me to see if there are patterns of signs or symptoms.Ā
SleepĀ
Sleep has a huge impact on health Ā and itās important to consider it during my wellness appointments. So I often ask clients to track hours of sleep on a daily basis. If they take supplements to help them sleep (or give a better quality of sleep) we track that too.Ā
StressĀ
In my opinion, stress is the most important determinant of health. If youāre working with a practitioner who doesnāt even ask you about your stress level, Iād strongly suggest looking for a different wellness practitioner.
I ask my clients to rate their level of stressĀ throughout the day on a scale of 1 to 10. Sure itās subjective but you know what a 10 feels like to you. If itās work stress they may put a W beside it or if itās personal/family and F. Identifying the stress allows us to see if thereās something that can be added to help manage it.Ā
Bloating
Not every client tracks bloating but quite often during my intake sessions it comes up as a symptom. No feeling bloated isnāt normal and doesnāt have to impact your quality of life. Again we use a scale of 1 to 10 and track it throughout the day. Wake up not bloated? Great write down 0.Ā
Bowel Movements
How our bowels are working says a lot about our general health. Tracking bowel movements can involve just stating the time and consistency. Quite often Iāll ask clients to use the Bristol Stool Chart. Have a bowel movement every second day and feeling fine? That may be your normal pattern, no worries.Ā
Food IntakeĀ
In my initial phase of working with my clients, Iām not too concerned about the amount or calories consumed. I just want to get a good idea of what they are eating and how often theyāre eating.
We can get detailed later if needed but Iāve found over the past 20 years that very few people need to get that detailed. Total truth. Tell me what youāre eating at what time of day.Ā
SupplementsĀ
For some clients Iāll add this on for something to track to help them remember to take their supplements. What supplements a client is taking and why is important for me to know.
Plus I love to educate my clients around what supplements are needed and when they can save some money. Supplements can also interact with prescription medication so this is important too.Ā
ActivityĀ
As I mentioned on the Healthy Mompreneurs get Wealthy podcast episode 3,Ā Ā I am not currently focusing on āactivityā but am including activity on a regular basis. So tracking it can help us see if it affects your sleep or bowel movements (bloating etc). Iām not counting calories burned through exercise here.Ā
Energy LevelĀ
Another checkpoint for my clients is to simply check in on your energy level in the morning, midday and end of the day.
How are you feeling? Having an awareness of whatās going on in your body can feel like a foreign thing when weāre focused on ādoingā all the time but itās an important part of getting to your healthiest.Ā
Fluid IntakeĀ
Adequate hydration is key for energy and concentration. Tracking how much you drink during the day and the colour of your urine can help us know if youāre on the right track. Itās one of the healthy habits included in my healthy habits tracker which helps you build on the positive healthy habitsĀ that you are already doing.Ā
Conclusion
As you can see there are a lot of things that I may have my clients track but itās all in the effort to get them to their healthiest. If we change our food intake or wellness plan without first considering what is really going on itās unlikely that the changes will be maintained long term.
Getting to the root of health behaviours is key and identifying signs and symptoms is the first step in the process. Some clients find an app that they enjoy tracking in and others use a pen and paper. Either method is fine as long as I can take a quick look to identify trends and patterns that can help us build the best health and wellness plan to move forward.Ā


