Your Basic Details

First Name *

Last Name *

Email *

Phone *

Age *

Height *

Weight *

Your Goals

What is your main goal? *

Fat Loss

Build Muscle

Feel Better

Improve Energy

Other

If you selected other, share more details (optional)

How much weight (if any) do you aim to lose/gain? *

Do you have a target date or event in mind? *

Your Lifestyle

What’s your occupation and activity level during the day? *

How many days per week do you currently exercise, and what type? *

Do you walk regularly or track your steps? If yes, how many steps per day on average? *

Your Nutrition Habits

Do you currently track calories or macros? *

Yes

No

Sometimes

Do you eat breakfast, lunch, and dinner regularly? *

Yes

No

Sometimes

Do you snack? If yes, what are your go-to snacks? (optional)

How many times a week do you eat out or get takeaway? *

0

1-2

3-4

5-6

7+

Do you drink alcohol? How often and how much? *

Food Preferences

Any dietary restrictions or intolerances? (optional)

Any foods you absolutely hate? (optional)

Any foods you love or want included more? (optional)

Do you like to cook?

Yes

No

Only Easy Meals

Any specific ingredients or brands you already use regularly?

Supplements & Medication

Are you currently taking any supplements or medication?

Yes

No

If yes, please list below (optional)

Extra Notes

Anything else you think would help me personalise this for you? (optional)