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Personal Nutrition Programme - Onboarding

Gender
Male
Female
Non-binary
If applicable, what was the date of your last menstrual period?
Day
Month
Year
Do you currently track your nutrition?
Yes
No
Sometimes
If not, have you done so in the past?
Yes
No
Sometimes

If you currently track, what are your current macronutrient targets

Have you been:
Gaining weight
Maintaining weight
Losing weight
What is your PRIMARY goal?
Weight loss
Muscle gain
Weight maintenance
Other
How did your hear about my services?
Google / Search engine
BDA website
Family / friend referral
Other
Programme Payment
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