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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