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🌟 4-Week Personalized Weight Loss Nutrition Plan Questionnaire


👋 Welcome! This quick and effective questionnaire will help create a 4-week weight loss nutrition plan that fits YOUR goals, food preferences, and lifestyle. Let’s make healthy eating simple and enjoyable!

📝 Step 1: Personal Information

📌 Step 2: Your Goals

What is your main goal for the next 4 weeks? (Select one that best matches your goal)
Lose weight steadily (1-2 lbs per week)
Lose weight quickly (More than 2 lbs per week) (Only recommended if supervised by a professional)
Lose fat while building muscle

🥗 Step 3: Food Preferences & Allergies

Do you have any food allergies or dietary restrictions? (Check all that apply)

🍽️ Step 4: Eating Style & Meal Prep

What type of eating style do you prefer (or are open to trying)? (Check all that apply)
How many meals/snacks do you prefer per day?
3 meals (Breakfast, Lunch, Dinner)
3 meals + snacks (For extra energy throughout the day)
5-6 smaller meals (More frequent, portion-controlled)
Other
How much time do you have for meal prep?
Minimal (10-15 min, quick & easy meals)
Moderate (30-45 min, I don’t mind cooking a bit)
Batch cooking (Meal prep for the week in advance)
How often do you eat out or order takeout?
Rarely (Mostly home-cooked meals)
Occasionally (1-3 times per week)
Often (4+ times per week)
Other

🏋️ Step 5: Lifestyle & Activity Level

How active are you? (Choose the closest match)
Sedentary (Little to no exercise)
Light activity (1-2 workouts per week)
Moderate activity (3-5 workouts per week)
Very active (Daily exercise or physically demanding job)
What beverages do you usually drink? (Check all that apply)

✨ Step 6: Additional Notes

Fixed price
$55

Submitting this form will direct you to complete a one-time payment of $55.

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