We're Three Months In!

Time flies when you're having fun. I hope the last 3 months have been a huge success for you. If not a huge success I hope that we at least heading in the right direction.

What's On  Your Plate
Your  Contact Details
Weight History

Roughly how many kilograms did you weigh 1 month ago?


Roughly how many kilograms did you weigh 6 months ago?

Future You

What would you like to achieve in 3 Months?

Please select all appropriate boxes

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?

Food  Information 

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?