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Tailored Diets
Fill up and get a Customized Diet Plan prepared for yourself  (or your near and dear ones) by our Expert Dieticianstailored diet plan

This data is essential for our panel of Nutritionists and Dieticians at  Indiadiets.com to plan out your Personal Diet plan. Please fill up all the details correctly. 

Privacy Policy / Assurance:
We at Indiadiets.com assure you that this data will be kept completely confidential and will be utilized solely towards the personalization of  your Diet Plan 

PART I (A): PERSONAL INFORMATION
Name:
Age (years) years

Sex:

Male

Female

Height cms
Weight in Kgs:
kgs Marital Status:
Occupation:
Smoking:
Drinking
Do you Exercise?
If yes, what type..
Food Allergy /
Body Ailments /
Medical History (if any)
Any specific requirement for diet customization
Food Habit Veg     Non-Veg    Semi-Veg
Main meal
Peak hunger
Which part of the day do you crave most for food
Water intake

PART I (B): Approx. Present Meal Pattern (what you normally eat OR like to eat)

Breakfast +
Mid-morning
Lunch
Tea
Dinner
Milk
Address
Country
Tele No:

Email

In case of any doubts / clarifications, please mail dietcounsellor@indiadiets.com


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