Personalized Health & Nutrition Assessment

This assessment helps us understand your health, dietary habits, and lifestyle to provide personalized recommendations tailored to your needs. Please answer each question honestly. Your responses will remain confidential and will assist in crafting a nutrition plan that aligns with youryour health goals and overall well-being.

Basic Information

Your Diet Information

6. Do you have any Allergies?*

Any Digestion Issue

11. Are you experiencing any of the issues listed below?*

Energy Information

Stress & Sleep Details

14. Which one of the following ailments do you suffer from?*

Physical Exercise

18.Which type of exercises do you prefer to do?*

Body Composition

19. What is your current health goal?*
21. What is your medical diagnosis?

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