What's On Your Plate
Your Contact Details
Roughly how many kilograms did you weigh 1 month ago?
Roughly how many kilograms did you weigh 6 months ago?
What would you like to achieve in 3 Months?
Have you tried fitness based supplements before?
Would you take fitness based supplements to help you reach your goal faster?
What's your ideal goal weight?
What difference would you be happy with in 3 months?
We Need To Check
Do you have any food allergies that cause anaphylactic shock?
Do you have any food intolerances?
Do you have any current health issues? Please check the below boxes if you're experiencing symptoms
Are you on any regular medications?
Do you take any supplements, vitamins or minerals or herbal preparations?
How many times a week do you eat takeaway?
How many times a week do you have snack foods like chips, chocolate, lollies?
How many times a week do you eat out at a restaurant or cafe?
Who does the food shopping in your household?
Who does the cooking in your household?
Do you like to cook meals?
How many days a week do you drink alcohol?
How many drinks per week on average?
Are there any foods you dislike or refuse to eat?
Are there any foods you would like incorporated into your diet?