Personalized slimming program

Reference : DIETPLAN

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Tailor-made slimming program and plan

To receive your personalized 7-day Slimming Program:

- Copy/Paste all fields below into a new email from your inbox.
- Complete each field, from your email, precisely so that our team of associated dieticians can design an optimal nutrition plan and balanced, effective and tailor-made slimming menus for a full week.

All you have to do is send your prepared email to the following address: contact.clairvoyancemedium@gmail.com

This weight loss program is designed to meet your dietary preferences, dietary restrictions and weight loss goals.

FIELDS TO COPY, COMPLETE AND SEND

Personal informations

First name :
Age :
Gender:
Current weight:
Size :
Short-term (3-6 months) weight loss goals in kg:
Long-term weight loss goals (1 year and more) in kg:
Which areas of your body do you primarily want to refine (the whole body, thighs, hips, stomach, etc.):

Medical History and Allergies

Medical conditions (diabetes, hypertension, etc.):
Food allergy :
Food intolerances:
Current medications:

Preferred types of food:
Favorite types of cuisine (Italian, Asian, French, Mediterranean, etc.):
Specific preferences for meal plans (quick recipes, sophisticated dishes, etc...):
Slimming menus adapted to a budget (economical, mid-range, sophisticated):

Foods you won't like:
Dietary restrictions:
Specific diet (Gluten-free, Rich in protein, Lactose-free, Pork-free, etc.):
Foods to absolutely avoid:

Habits and lifestyles

Number of meals per day:
Usual meal times:

Breakfast (yes/no):
Lunch (yes/no):
Dinner (yes/no):

Physical activity level:
(Sedentary, Moderately active, Very active)

Type of exercise practiced (specified):
Frequency of physical activity (days per week):

Main motivation for this weight loss:
(Health, Appearance, Sports performance ect...)

Any special instructions for your slimming menus?

By completing this form carefully, you will help us create a perfectly adapted and tailor-made Slimming Program!
To be sent to the following address: contact.clairvoyancemedium@gmail.com