Questionnaire

For Personalized diet plan fill the form below

Name

Your age

Location

weight

Height

Medical concern if any

Contact number

Whatsapp number

Do you currently take any dietary supplements ?

How would you describe your eating habits ? Veg/non -veg

Do you have any food allergies?

How many litres of water do you usually consume per day?

How many cups of tea/coffee you drink in a day?

What do you eat in full day like Post waking up, Breakfast, Mid-Morning, Lunch, Snacks/Evening tea, Dinner, Post Dinner?

How many meals per week do you eat out at restaurants & fast-food places?

Checklist of blood test – Cholesterol, B.P., Sugar – fasting and PP, Vitamin D, Vitamin B12, Total testosterone.

Checklist for body measurements – Arms, Chest, Waist, Tummy, Hips, Thighs.

Full Length pic before starting the diet plan