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Personalized Meal Plan And Calorie Intake Form
What is your Age?
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Name
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Email Address
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Phone
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What is your Gender?
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What is your Gender?
Male
Female
Prefer Not To Say
What is your current weight?
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Enter your weight in kilograms (kg) or pounds (lbs.) Please specify the unit.
What is your Height?
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Height in centimeters (cm) or inches (in.) Please specify the unit.
What is your level of activity?
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What is your level of activity?
Sedentary (little to no exercise)
Lightly Active (light exercise/sports 1-3 days per week)
Moderately Active (moderate exercise/sports 3-5 days per week)
Very Active (rigorous exercise/sports 6-7 days per week)
Extra Active (extreme exercise, physical job, or training twice a day)
What is your goal?
What is your goal?
Weight loss- Achieving a healthier body weight by reducing calorie intake and increasing physical activity.
Untitled checkboxes field
Maintain Current weight- Maintaining weight stability through balanced nutrition and consistent exercise.
Extreme weight loss- Supporting rapid or significant weight loss for specific medical reasons under professional supervision.
Reduce Cholesterol- Lowering LDL (bad) cholesterol to improve heart health and reduce the risk of cardiovascular disease.
Manage Diabetes- Managing blood sugar levels with balanced meals, carbohydrate monitoring, and medication when necessary.
Prevent Weight Regain- Preventing weight regain after weight loss through sustainable habits and mindful eating.
Boost Energy levels- Enhancing dietary quality by incorporating nutrient-dense foods to stabilize blood sugar and maintain consistent energy levels.
Manage Aging Health- Prioritizing nutrients like calcium, vitamin D, and antioxidants to support bone health, cognitive function, and overall vitality.
Support Athletic Performance- Boosting strength, endurance, and recovery with tailored macronutrient ratios and effective hydration strategies.
Build Muscle- Increasing lean muscle mass through high-protein meals, strength training, and strategic nutrient timing.
Improve Gut Health- Promoting digestive health and reducing inflammation by incorporating probiotics, prebiotics, and fiber into the diet.
Selective Child Eating Habits- Providing proper nutrition for children with selective eating habits by gradually introducing a variety of foods.
Do you have any dietary preferences? (Select all that apply)
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Do you have any dietary preferences? (Select all that apply)
Vegan - No animal products, including meat, dairy, eggs, honey, and gelatin.
Vegetarian - No meat but may include dairy and eggs.
Pescatarian - Vegetarian diet that incorporates fish and seafood.
Gluten-Free - No gluten, commonly found in wheat, barley, and rye.
Dairy-Free - No milk and dairy products, such as cheese, butter, and yogurt.
Nut-Free - No tree nuts and peanuts.
Soy-Free - No soy, or soy-based products.
Egg-Free - No eggs, or any products containing eggs.
Shellfish-Free - No crustaceans or mollusks.
Low-Sodium - No high-sodium foods.
Low-Sugar - Limits sugar intake, often for diabetes management.
Low-FODMAP - Avoids specific fermentable carbohydrates (for IBS or gut issues).
Kosher - Adheres to Jewish dietary laws, avoiding pork, shellfish, and mixing meat with dairy.
Halal - Following Islamic dietary laws, excluding pork, alcohol, and requiring specific slaughter methods.
Paleo - Avoids processed foods, grains, legumes, dairy; focuses on meats, nuts, and seeds.
Keto - Low-carb, high-fat diet for ketosis.
High-Protein - Prioritizes protein-rich foods (meat, tofu, legumes).
Low-Carb - Restricts carbohydrate intake.
High-Fiber - Emphasizes foods rich in dietary fiber (fruits, vegetables, whole grains).
Plant-Based - Focuses on whole, plant-derived foods; may include some animal products.
Raw-Food - Prefers uncooked or minimally processed foods.
Organic - Prefers foods grown without synthetic pesticides or fertilizers.
Intermittent-Fasting - Restricts eating to specific time windows (intermittent fasting).
Carnivore - Consumes only animal-based foods.
Flexitarian - Primarily vegetarian but occasionally eats meat or fish.
Anti-Inflammatory - Focuses on foods that reduce inflammation (turmeric, leafy greens).
Mediterranean - Centers on a Mediterranean-style diet with fruits, vegetables, nuts, olive oil, and lean proteins.
How Many Meals Do You Typically Eat Per Day?
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How Many Meals Do You Typically Eat Per Day?
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