Custom Plan .... we collect information about you, your goals,
activity level, eating habits and food likes/dislikes in order to provide you with a
program that is tailored just for you...... next
Your Goal & Eating Habits
Goal
I would like my goal weight to be
kg
I would like to get to this weight at a change rate of
kg per week.
Where would you like your Calories to come from?
I want % of my calorie reduction from Food and the remainder from Exercise.
Eating Habits
BREAKFAST Habits
1) Usually...
2) Most of the time I have food, sometimes I have
3) My preferred beverage:
has little or no
calories such as water, coffee/tea with no sugar or milk.
is something sweetened eg.
coffee/tea/milo/etc. with sugar and/or milk/creamer.
LUNCH Habits
1) Usually...
2) Most of the time I have food, sometimes I have
3) My preferred beverage:
has little or no
calories such as mineral water, coconut juice, etc.
is something sweetened eg.
fruit drink, lime juice, bubble tea, etc.
DINNER Habits
1) Usually....
2) Most of the time I have food, sometimes I have
3) My preferred beverage:
has little or no
calories such as water, chinese/green tea, etc.
is something sweetened eg.
regular soft drink, ice lemon tea, etc.
Likes/Dislikes
Do you have any allergies/intolerances or dislikes? (Check all that apply)
