Build My Diet

1
What’s your name?
First Name
Last Name
2
Age
3
Sex
Male
Female
Other
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What's Your Height?
5
What Your Current Weight?
6
What’s your main goal ?
Lose Weight
Build Muscle
Lose Fat & Build Muscle
Improve Overall Diet
Athletic Performance
7
How much do you want to weigh? Ex: "140 lbs"
8
What your preferred eating style?Almost there. Time to talk food.
Anything (No major preferences or restrictions. Will eat practically anything.)
Mediterranean (Features plant foods, healthy fats, and moderate amounts of lean protein.)
Vegetarian (A plant-based diet, plus small amounts of eggs and dairy.)
Paleo (Emphasizes meats, vegetables, and healthy fats.)
Keto (A high-fat, very-low carbohydrate diet.)
Fully Plant-Based (All plant-based foods. No animal products of any kind.)
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Do you want to use the standard macronutrient ratios, or customize?If you're unsure, feel free to skip this!
Protein
Carb
Fat
100%
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100%
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Protein
Carb
Fat
100%
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100%
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How many meals do you like to eat each day? Just a couple of more questions.
Ex: 3
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Describe how active you are each day.tell us about your client's activity levels.
Very Light- (Sitting most of the day; example: desk job).
Light- (A mix of sitting, standing, and light activity; example: teacher.)
Moderate- (Continuous gentle to moderate activity; example: restaurant server.)
Heavy- (Strenuous activity throughout the day; example: construction work).
12
What best describes their weekly workouts?
Very Light- (I don't really workout)
Light- (1-3 hours of gentle to moderate exercise.)
Moderate- (3-4 hours of moderate exercise.)
Intense- (4-6 hours of moderate to strenuous exercise.)
Very Intense- (7+ hours of strenuous exercise.)
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How willing are you to take action towards better health?* This field is required.
Not Willing
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Not Willing
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Where should we send your results?Support is on its way!
example@example.com
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KaiNutri Nutrition Newsletter* This field is required.You’ll receive free Recipes, Tips, and Practical Strategies weekly to make improving your diet easier than ever.
Yes, send me the good stuff!
No, I’ll pass
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Terms and Conditions* This field is required.Acknowledgement that the results from this assessment are for informational purposes only. Please Read to Learn More.
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