Your Personalised Program
First up, what's your name?*
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What have been your biggest challenges in maintaining a healthy diet?*
Choose as many as you like
Meal planning and knowing what to cook
Meal planning and knowing what to cook
Being stressed and not having the motivation to make health a priority
Being stressed and not having the motivation to make health a priority
Being healthy while working from home
Being healthy while working from home
Exercising with the social distancing restrictions
Exercising with the social distancing restrictions
Emotional eating as a result of stress or worry
Emotional eating as a result of stress or worry
Snacking due to easy access to the kitchen
Snacking due to easy access to the kitchen
Lacking energy due to poor sleep or eating unhealthy food
Lacking energy due to poor sleep or eating unhealthy food
Struggling with negative body image
Struggling with negative body image
Conflicting information on what to eat/exercises
Conflicting information on what to eat/exercises
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Which of the following best describes your current health goals?
Choose as many as you like
Losing weight to look better
Losing weight to look better
Gaining weight to look better
Gaining weight to look better
Improving my overall health to feel better and avoid illness
Improving my overall health to feel better and avoid illness
Learning how to deal with emotional eating
Learning how to deal with emotional eating
Avoiding weight gain now that I'm out of my normal routine
Avoiding weight gain now that I'm out of my normal routine
Maintaining or improving my mental wellbeing
Maintaining or improving my mental wellbeing
Getting better at planning and cooking homemade meals
Getting better at planning and cooking homemade meals
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Do you have any health conditions?*
Choose as many as you like
Asthma
Asthma
Breathing problems
Breathing problems
Cancer
Cancer
Cardiovascular diseases
Cardiovascular diseases
Diabetes type 1
Diabetes type 1
Diabetes type 2
Diabetes type 2
Liver problems
Liver problems
None
None
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Next
What's your age, height and weight?
Age
Height
ft
in
Switch to cm
cm
Switch to ft & in
Weight
st
lb
Switch to kg
kg
Switch to st & lb
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Whats your Gender?*
Male
Female
Are you pregnant or breastfeeding?
Yes
No
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Please state your dietary preferences?
Vegan
Vegetarian
Pescatarian
Other
Do you have any allergies?
Yes
No
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Which Plan are you embarking to begin (USD$)?
Basic Plan-$34.99
Silver Plan-$74.99
Gold Plan-$99.99
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Please select length of program
4 Weeks
12 weeks
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One last thing...
Your Email?
Your Phone Number?
I agree with the
Terms & Conditions
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Your Summary
Your Name:
Age:
Weight:
Height:
Gender:
Dietary Preference:
Allergy:
Plan:
Program Length:
Email:
Phone:
Submit
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