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Certified - Nutritionist (GCTA) Australia. Winner of Atal National Award, for the category Health & Nutrition by Ministry of M.S.M.E (Govt of India) Feb 2020. Affiliated with Nehru Yuva Kendra Sanghatan (NYKS). A National Level Powerlifting Gold Medalist for the year 2022, 2023 & 2024.  My consultations take into account a client’s body composition analysis, including height and weight measurements, fat and muscle mass, metabolic age, stress levels, water intake, family history of medical conditions, food allergies, and blood reports. These services are not intended to diagnose, treat, or cure any condition or disease.
Follow me on Instagram @sheetal.wellness
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Name
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Your mobile number
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Your date of birth
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Your height in centimeters
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Your current weight
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Do you have any hereditary disorders? *
How much is your daily water intake? *
What time do you eat your breakfast and what all do you usually have? Kindly mention the food items including tea/coffee
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What time do you eat your lunch and what all do you usually have? Kindly mention the food items
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Do you eat evening snack? If yes, then what all do you eat? Kindly mention the food items including tea/coffee
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What time do you normally eat your dinner and what all do you usually have? Kindly mention the food items including any sweets
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When do you tend to overeat the most? What time of the day & what sort of food item do you crave for?
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Do you consume alcohol? If yes, kindly mention the frequency and the quantity
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Do you smoke cigarettes? If yes, kindly mention the frequency and the number in a day
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What is the frequency of eating out OR ordering food through food apps? Again, kindly mention what sort of food
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Do you exercise? If yes, then kindly elaborate the types (e.g. cardio, running, strength training, playing outdoor games, or simply walking) and for how much duration
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Do you have any physical limitations? (e.g. ACL tear, Knee pain, lower back problem, spondylosis)
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Can you climb 2 floors using the stairs comfortably?*
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Kindly elaborate your medical history (e.g. Diabetes, BP, Heart issue, Acidity related problems, migraine) and also mention the medication you are taking. Write NO if you do not have any ailments*
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How supportive are your immediate family members regarding you achieving your fitness goal?
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Very Supportive
Would you like to share any other piece of information about you? Any good thing, any other pain point?
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Have you ever consulate any other dietician? *
How did you come to know about us? (e.g. Social Media - FB, Insta OR family/friend - please share the name)
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