Nutrition Guidance/ Meal Plans
ALLYFIIT
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Height (cm)
Age and Birthdate
Weight (current in kg)
Do you have any medical conditions, allergies, or food intolerances?
Are you currently following any specific diet or nutrition plan?
Yes
No
If yes, please describe:
What are your top 2 nutrition-related goals? be specific:
Which best describes your cooking habits?
Love cooking, happy to try new recipes!
Prefer quick and simple meals
Minimal cooking, need easy, on the go options
How many meals and snacks do you prefer daily?
3 meals
3 meals, 1 snack
3 meals, 2 snacks
Flexible
How active are you daily?
Sedentary
Lightly active
Moderately active
Very active
How many times do you workout per week?
0 times
1-2 times
3-4 times
5+ times
What do you struggle with most when it comes to nutrition?
How confident are you in sticking to a nutrition plan?
Very Confident! Give me a meal plan!
Somewhat confident. I may need help
Not confident. Need a structured step by step easy plan
Are you happy with me reaching out to discuss your personalised plan?
Yes, call
Yes, email
Yes, text
Submit
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