这份表格会帮助我们初步了解你的健康目标、生活习惯、身体状况和目前困扰。
填写后，我们会先进行内部评估。如果你的情况适合这个计划，我们会与你联系。
巴生谷 (Klang Valley) 客户可选择线上沟通或线下面谈。此阶段完全免费。
This form helps us gain an initial understanding of your health goals, lifestyle habits, current health condition, and any challenges you may be facing.
Once submitted, our team will conduct an internal assessment. If your profile is suitable for the program, we will contact you. Clients in the Klang Valley may choose either an online consultation or an in person meeting. This process is totally FOC.
1. 我同意提供以上资料于 Yun Zun Nutritionist / BMI Management Team 作为初步评估与后续联系用途。所有资料只用于营养辅导相关沟通，不会公开分享。
2. 我理解此服务提供营养教育、饮食分析与生活方式建议，不提供医学诊断、疾病治疗、药物调整或紧急医疗处理。
3. 我理解三个月计划的结果会因个人健康状况、执行度、生活环境、睡眠、压力、用药和其他因素而不同。
1. I consent to providing the above information to Yun Zun Nutritionist / BMI Management Team for preliminary assessment and follow up contact. All information will be used solely for nutrition coaching purposes and will not be shared publicly.
2. I understand that this service provides nutrition education, dietary analysis, and lifestyle recommendations, and does not offer medical diagnosis, disease treatment, medication adjustments, or emergency medical care.
3. I understand that outcomes from the three month program may vary depending on individual health status, adherence, living environment, sleep quality, stress levels, medication use, and other factors.
Section 1: 基本资料 Basic Information
Section 2: 联络方式 Contact Details
Section 3: 主要问题分类 Main Concern Category
Section 4: 健康目标 Health Goals
Section 5: 疾病、用药与医疗状态 Medical Background
Section 6: 生活习惯 Lifestyle
Section 7: 服务配合度 Readiness
预计填写时间约为 10–15 分钟。
请尽可能根据真实情况填写，内容并无对错之分。
所有资料将被妥善保密，仅用于健康指导与支持用途。
感谢你的时间与配合，期待陪伴你一起迈向更健康的生活方式 ！
It will take approximately 10–15 minutes to complete.
Please answer as honestly as possible, there are no right or wrong answers.
All information provided will be kept confidential and used solely for guidance and support purposes.
Thank you for your time and cooperation.
We look forward to supporting you on your health journey!!
