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Ketogains Meal Plan Preferences
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1
What is Your Name?
*
This field is required.
In the unlikely case of any issues with your order, this will help us to connect the dots behind the scenes!
First Name
Last Name
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2
What is your Email?
*
This field is required.
While highly unlikely, if we can't confirm by name, we can reference by email (if necessary).
example@example.com
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3
Tell us about what you're looking to accomplish.
*
This field is required.
Help us understand your goals for the use of this meal plan.
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4
Will you supply your macros or will we be reviewing them for you?
*
This field is required.
Ketogains reviews and supplies macros only if that product was selected upon checkout.
I Am Providing Them
Ketogains Will Review
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5
What are your
protein
macros?
How many GRAMS of protein will you be consuming daily? (Provide a number only)
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6
What are your
carbohydrate
macros?
How many GRAMS of net carbohydrate will you be consuming daily? (Provide a number only)
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7
What are your
fat
macros?
How many GRAMS of fat will you be consuming daily? (Provide a number only)
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8
How would you describe your current dietary strategy?
*
This field is required.
What type of diet are you currently eating?
Anything (IIFYM)
Paleo
Vegetarian
Vegan
Ketogenic
Mediterranean
Other
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9
Do you have any common allergies?
*
This field is required.
Do you have allergies to the following food(s)
Gluten
Peanut
Eggs
Fish
Tree Nuts
Dairy
Soy
Shellfish
No Food Allergies
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10
Do you have any allergies to foods
not
listed previously?
*
This field is required.
YES
NO
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11
What are those allergies?
Please provide as much detail as necessary
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12
Red Meat Options
Please check the box to any foods that you do
not
wish to appear in your meal plan
Beef
Pork
Bacon
Lamb
Veal
Other
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13
Poultry Options
Please check the box to any foods that you do
not
wish to appear in your meal plan
Chicken
Turkey
Other
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14
Fish Options
Please check the box to any foods that you do
not
wish to appear in your meal plan
Salmon
Tuna
Tilapia
Sardines
Trout & Snapper
Other
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15
Other Protein Options
Please check the box to any foods that you do
not
wish to appear in your meal plan
Shellfish
Eggs
Soy (Tofu)
Soy (Milk)
Protein Powders
Other
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16
Grain Options
Please check the box to any foods that you do
not
wish to appear in your meal plan
Breakfast Cereals
Pasta
Breads
Rice
Oatmeal
Other
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17
Legume Options
Please check the box to any foods that you do
not
wish to appear in your meal plan
Beans
Lentils
Peas
Other
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18
Starchy Vegetable Options
Please check the box to any foods that you do
not
wish to appear in your meal plan
Potatoes
Yams
Corn
Other
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19
Non-Starchy Vegetable Options
Please check the box to any foods that you do
not
wish to appear in your meal plan
Artichoke
Asparagus
Beets
Broccoli
Carrots
Cauliflower
Sprouts
Celery
Peppers
Tomato
Eggplant
Other
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20
Fat & Nuts Options
Please check the box to any foods that you do
not
wish to appear in your meal plan
Avocado
Peanuts
Almonds
Walnuts
Pecans
Other
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21
Dairy Options
Please check the box to any foods that you do
not
wish to appear in your meal plan
Milk
Cream
Cheese
Yogurt
Cottage Cheese
Whey Protein
Other
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22
Fruit Options
Please check the box to any foods that you do
not
wish to appear in your meal plan
Apple
Banana
Grapes
Orange
Strawberries
Raspberries
Blueberries
Fruit Juice
Other
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23
Foods and Ingredients You Don't Like
Did we miss any? Tell us any "no go" ingredients or foods that we didn't cover earlier.
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24
Please select the meals you typically eat
*
This field is required.
Breakfast
Lunch
Snack
Dinner/Supper
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25
Should we look to maximize use of leftovers?
The reuse from previous meals can help cut down waste and cost
YES
NO
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26
Upload any documentation or screenshots
If needed, please load info here (not required)
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