Weight Loss Journey Apne Weight & Lifestyle ke liye Personalized Guidance PaayeinAapki daily routine, eating habits aur lifestyle ko samajhne ke liye kuch simple questions hain. Sahi details dene se ham aapko aapki requirement ke according better guidance de paayenge.Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.1. Aapka naam kya hai? *FirstLast2. Aapki age kya hai? *3. Aapki height kitni hai? *4. Aapka current weight kitna hai? *5. Apna mobile number or ek alternate mobile number likhiye. *6. Aap aam taur par subah kitne baje uthte hain? *5 AM se pehle5–6 AM6–7 AM7–8 AM8–9 AM9 AM ke baad7. Uthne ke baad sabse pehle aap kya lete hain? *Sirf paaniChaiGreen TeaCoffeeKoi aur drink/foodKuch nahi8. Aap breakfast aam taur par kitne baje karte hain? *7 AM se pehle7–8 AM8–9 AM9–10 AM10–11 AM11 AM ke baad9. Aap lunch aam taur par kitne baje karte hain? *12 PM se pehle12–1 PM1–2 PM2–3 PM3 PM ke baad10. Shaam ko snack mein aap aam taur par kya lete hain? *Chai + BiscuitsNamkeenFruitsDry FruitsSandwich/Fast FoodPeanutsKuch aurMain evening snack nahi leta/leti11. Aap dinner aam taur par kitne baje karte hain? *7 PM se pehle7–8 PM8–9 PM9–10 PM10 PM ke baad12. Kya aap raat ko doodh peete hain? *Haan, rozKabhi-kabhiNahi13. Dahi ya chaach lene ke baad kya aapko kabhi thand ya discomfort feel hota hai? *Haan, rozKabhi-kabhiNahi14. Inmein se aap kaun-kaun si cheezein khate hain? *OatsDaliyaPeanut ButterPeanutsInmein se koi nahi15. Aap ek din mein approximately kitni roti khate hain? *1–23–45–67–88 se zyada16. Aap ek din mein approximately kitna rice/chawal lete hain? *Nahi khata/khati½ katori tak1 katori2 katori2 se zyada katori17. Kya kisi food se aapko allergy ya koi problem hoti hai? *HaanNahiPata nahi18. Kis food se problem/allergy hoti hai? *19. Kya koi aisa food hai jo aap bilkul pasand nahi karte ya avoid karna chahte hain? *Agar koi nahi hai to "None" likhein.20. Kya aap currently workout/exercise karte hain? *Haan, daily4–5 din/week2–3 din/weekKabhi-kabhiBilkul nahi21. Agar workout karte hain, to aam taur par kis time? *SubahDopaharShaamRaatWorkout nahi karta/karti22. Aap aam taur par raat ko kitne baje sote hain? *9 PM se pehle9–10 PM10–11 PM11 PM–12 AM12 AM ke baad23. Kya aapko currently koi health condition hai ya kisi health issue ke liye treatment/medicine chal rahi hai? *HaanNahiConfirm nahi haiPrefer not to say24. Agar Haan, to kaunsi health condition hai? *ThyroidPCOS/PCODDiabetesBlood PressureFatty LiverDigestive/Gut related issueOtherPrefer not to say25. Kya aap currently koi regular medicine ya supplement le rahe hain? *HaanNahiKabhi-kabhiPrefer not to say26. Agar Haan, to medicine/supplement ka naam ya type batayein.Optional27. Kya aap smoking ya alcohol consume karte hain? *Nahi, dono nahiSirf smokingSirf alcoholDono kya karna kaam 28. Agar consume karte hain, to kitni frequently? *DailyWeek mein 3–5 baarWeek mein 1–2 baarKabhi-kabhiRarelyApplicable nahi29. Aapka main goal kya hai? *Weight manage karnaBelly/Body fat par kaam karnaHealthy lifestyle improve karnaFitness improve karnaEnergy aur daily activity improve karnaOverall wellnessOther30. Aapko apne goal par kaam karne mein sabse badi difficulty kya lagti hai? *Diet maintain nahi ho patiExercise ke liye time nahi miltaRoutine irregular haiCravings/snackingWeight baar-baar badh jata haiMotivation maintain nahi hotiSamajh nahi aata kya follow kareinOther31. Aap apne weight/lifestyle goal par kab se kaam kar rahe hain? *Abhi start karna hai1–3 months3–6 months6–12 months1 saal se zyadaTerms & Conditions Apply *I agree to the Terms & Conditions: I confirm that I am submitting this form voluntarily and that the information provided by me is correct to the best of my knowledge. I understand that the company may contact me by phone, WhatsApp, SMS, or other communication methods based on the details provided. I also understand that any booking/advance amount paid for a product is non-refundable, and if I cancel the order after making the booking payment, the booking amount will not be refunded.Submit
