Sarvahitha Application
To design a nutrition plan that is truly as unique as you are, I need to understand the fine details of your daily life. This in-depth assessment is the first step in creating your 100% bespoke wellness solution. Thank you for your time and your trust.
Your Wellness Foundation
Every great transformation starts with the right data. Please share your basic statistics below
Full Name
*
Enter your first name
Enter your middle anem(if applicable) + Last Name
Email Address
*
This email will be used to send all invoices and reports
Whatsapp Number
*
-
Country code
Phone Number
Date of Birth
*
/
Day
/
Month
Year
Enter your date of birth
I am a
*
Dashing Man
Super Woman
Home Address
*
Street Address
Street Address Line 2
City
State
Zip/Pin Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Body Vitality & Measurements
These measurements help us tailor your nutritional plan to your specific body composition. Please use a standard measuring tape for accuracy.
Your Height (cms)
*
Use link to learn https://www.wikihow.com/Measure-Your-Height-by-Yourself
Hip Measurement (inches)
*
Use this link to learn: https://www.physio-pedia.com/Waist_Measurement
Waist Measurement (inches)
*
Use this link to learn: https://www.youtube.com/watch?v=4MajPk-vp8M
Neck Measurement (inches)
*
Use this link to learn: https://www.youtube.com/watch?app=desktop&v=Q5IgK3Oj0Nw
Current Weight (kgs)
*
Measure a weight in kilograms now and mention the weight
Your Health Aspirations & Goal
Please share what you hope to achieve. This helps us focus your plan on what matters most to you
What is your Primary Health Goal?
*
Enter your vision/goal and the points which you want to achieve
The one habit you'd like to change forever
*
One change you wish to sustain for a Long time
Our Shared Commitment
To ensure we provide the safest and most effective guidance, we ask you to acknowledge these standard terms of our partnershiop
Accuracy:
"I confirm that the information shared is true and complete to the best of my knowledge, as this forms the foundation of my plan"
Partnership:
"I am choosing to work with Dr. Bansi Parikh for personalized wellness guidance with the understanding that my dedication and the plan's science work together for results"
Communication:
"I consent to receive my meal plans, health reports, and important updates via the WhatsApp number or email address I have provided"
Healthcare:
"I understand that the guidance provided by TastiFit is for wellness and nutritional coaching only. This plan does not replace professional medical advice, diagnosis, or treatment. Please consult your doctor before starting this plan, especially if you have existing medical conditions or take prescribed medication. By proceeding, you agree that results may vary and that you remain responsible for your own medical decisions"
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Sarva Sharira ->
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Sarva Sharira (Whole Body)
To understand how your body functions day-to-day, please share your typical routine and energy patterns.
Usual Wake up Time (Around)
*
Hour Minutes
AM
PM
AM/PM Option
Usual Bed Time (Around)
*
Hour Minutes
AM
PM
AM/PM Option
Rate your Energy Levels (through out the day) (10 is Best)
*
Worst
1
2
3
4
5
6
7
8
9
Best
10
1 is Worst, 10 is Best
How is your Digestion (on Average)
*
None, All Good
Frequent Bloating
Frequent Acidity
Frequent Bowel Movements
Menstrual Cycle
*
Regular, No Problem
Irregular, Sometimes
Irregular, Everytime
Other
Do you Smoke?
*
Daily
Weekly
Monthly
4-5 times a year
Never
Consume Alcohol?
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Daily
Weekly
Monthly
4-5 times a year
Never
Any Mecial Conditions, Recent Surgeries, Regular pain on a specific body part?
*
Type Not Applicable if nothing. If there are medical conditions, We request you to email the reports on drbansi@tastifit.com
Any Regular Medication Prescribed by Doctor ?
*
Type Not Applicable if nothing
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Sarva Aahaara->
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Sarva Aahaara
Your Food Preferences & Nourishment. This helps us include the foods you love while managing your cravings effectively.
Tell us your 5 Comfort Food or lets say go to food
*
These foods we will try to accomadate in your schedule so you do not feel change all of a sudden
You Crave for?
*
Spicy
Sweet
Salty
Fried
Anything (just need something)
Other
Cravings Happen at
*
Morning (6 to 10)
Mid Noon (10 to 13)
Afternoon (15 to 17)
Evening (17 to 20)
Night(22 to midnight)
Other
Frequency of outside meals
*
Mention number as per monthly range (ex: 10 meals per month)
Frequency of Seasonal Fresh Fruits
*
Mention number range (ex: 10 seasonal fruits per month)
Describe your Food Allergies & Food you hate to consume
*
Please include all items as this will help us clear the wind while planning
Describe your Favourite Food & you would like to have them considered
*
Please include all items as this will help us clear the wind while planning
Sarva Manas
Movement is medicine. Please help us understand your current activity levels so we can design a plan that keeps you active and energized.
What is your Fitness Juice?
*
Gym or Strength Training
Yoga or Pranayama
Zumba or Dance
Morning/Evening Walks
I will start after this Plan
What is your Lifestyle?
*
Mostly sitting (e.g., Desk work or reading).
Lightly active (e.g., Household chores or light strolling).
Consistently moving or regular vigorous exercise
Minimal movement currently.
Water Intake (Daily)
*
Less than 1 litre
Between 1 to 2 litres
Between 2 to 3 litres
More than 3 litres
Sleep Cycle
*
Deep & Regular
Disturbed/Light Sleeper
Freqent Sleep Breaks
Difficulty Falling Alseep
Early Waking (Incomplete Sleep)
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Sarva Jeevana ->
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Sarva Jeevana
Provide us the summary of last 3 days. to understand your daily routine and consumables. TastiFit focuses on fitting in your life rather than drastically changing your life.
Tell us in detail, about what you consumed in last 3 days
*
Why this is important? This helps us fit our plan into your life and not the other way round.
Meals are generally prepared by
*
Please mention if you self prepare or have some help
Did you hit atleast 5000 steps
*
Please mention your daily average of the steps
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