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Kayden
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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1
What is your height
In either Centimetres or Inches, please specify.
2
How old are you
Use digits only
3
How much do you weigh in KG?
Use digits only
4
What is your BMI?
Leave blank if unknown.
5
What kind of sports do you participate in?
If multiple i.e. football and gym, please list them below.
6
What would you like to achieve?
Weight gain, weight loss, muscle gain, fat gain or fat loss.
7
Do you have any dietary descriptions?
8
What are your dietary habits?
What times do you eat, do you snack and what kind of foods do you eat?
9
How much water do you drink per day?
Answer in Litres.
10
The consent form.
By agreeing to the form, you are agreeing for the use of the information in creating a dietary plan. This information will not be used by third parties and be only used solely by Illia. Third party sources will be used in aid to create the plan however any information that is provided will not be shared elsewhere.
Yes, 10/02/2025
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