Customized Diet Plan
Pls. share information below to enable our experts to create a plan for you basis your goals & preferences
Name *
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Email ID *
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Phone *
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Age *
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Gender *
Weight (in Kgs) *
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Height (in centimetres) (1 feet = 30 cms)
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Meals you generally have *
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How often do you eat out? *
Activity Level *
What form of exercise do you do/like to do? *
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Goal *
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Food Preference *
Rate your self motivation on scale of 1-5. 5 being Very High *
What type of job do you have? *
How many hours of sleep do you get daily? *
How many glasses of water do you drink daily? *
Tell us your typical routine (Will help us serve you better) *
e.g. Mon-Fri: Up at 6:30AM. Regular Tea at 7AM. Run from 7:30-8AM, Breakfast (egg & toast) at 9AM. Coffee at 11AM, Lunch (1 bowl veg, dal, 1 bowl rice) at 1PM, Regular Tea & Namkeen/Biscuit at 4PM, Dinner (Veg/Chicken/Fish & 2Roti) at 9PM, Sleep by 11PM). Weekends 2 meals out (Heavy Indian food).
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Any medical conditions?
Any food allergies?
Any injuries/surgeries/illness past 2 years. Pls. specify
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Do you smoke/drink? If yes, pls. specify frequency.
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Are you taking any medication currently? Pls. specify
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Any other information you'd like to share?
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