"Create Your Personalized Meal Plan - Your Path to Healthy Eating"
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Name (First and Last)
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/250
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Age
Under 18
18-49
50 or older
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Gender:
Male
Female
Other
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Weight (in pounds or kilograms):
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/50
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Height (in feet and inches or centimeters):
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/50
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Activity Level:
Sedentary
Lightly Active
Moderately or Very Active
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Do you have any food allergies or dietary restrictions? If so, please specify:
Yes
No
Other
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Which diet are you interested in (choose one or specify your own preferences):
Mediterranean
Low-carb
Vegetarian
Other
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How many meals per day do you typically eat?
1
2-3
4
5 or more
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Do you have any specific dietary goals or preferences? (e.g., weight loss, muscle gain, managing diabetes, heart health, etc.) Please describe:
Weight loss
Muscle gain
Weight gain
Other
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How many people are you planning to feed with this meal plan?
Just me
Me and one other person
A family or group
Are there any specific foods you dislike or cannot eat?
Yes
No
Not sure
Do you have any preferred ingredients you would like to include in your meals?
Yes
No
Other
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How much time do you have for meal preparation each day?
30 minutes or less
30-60 minutes
Over 60 minutes
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What is your estimated budget for groceries and eating out per week?
Less than $50
$50-$100
Over $100
I don't have a budget🤷🏻♀️
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Please list any dietary or medical restrictions or conditions that should be considered when creating your meal plan (e.g., diabetes, high blood pressure, celiac disease, lactose intolerance, etc.):
Yes
No
Not sure
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