Welcome to Our Weight Loss Program

What is your Name?

Share Your Contact Details

Can you please share your email ID and telephone number?

We will mail you your nutritionist recommended diet plan on this phone number & email. We promise not to spam you or share this number with anyone else.

What is your age?

(Enter your age in years)

The gender you identify with

What are your top health or fitness goals? Pick from the list.

Height (in cm)

Weight (in kg)

Do you exercise/walk during the week regularly?

(Regular physical exercise means at least 30 min of continuous walk or exercise.)

Regular physical activity beyond 35 helps maintain muscle mass, bone density, and metabolic health, reducing the risk of age-related conditions like osteoporosis, heart disease, and diabetes, while enhancing overall mobility and mental well-being.

How frequently do you walk or exercise?

What is the intensity of your physical activity?

Light-intensity exercises like casual walking, bicycling (at a speed of less than 8 km/hour), Stretching, lightweight training, dancing slowly, and housework.

Moderate-intensity exercises like brisk walking (at a speed of 5-7 km/hour), Hiking, bicycling (at a speed between 8-14 km/hour), low-impact aerobics, moderate dancing, playing competitive sports like tennis/volleyball, yoga, weight training, housework that requires scrubbing.

High-intensity exercises like jogging, running, mountain climbing, bicycling (at a speed of 16 km/hour), high-impact aerobics, vigorous dancing, karate, judo, tae kwon do, competitive sports like basketball/soccer/football, swimming laps.

We would like to know a few more things about you before we can suggest a meal plan based on the suggested calories.

Do you have any existing medical conditions?

Do you have any of the following diagnosed conditions? Check all that apply.

Have you experienced menopause?

Describe your eating habits:

Are you allergic/intolerant to any of the following food/s? Check all that apply.