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Meal Plan Survey
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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1
Name
Please provide your full name.
2
Current Body Weight
Please provide your current body weight.
3
Goal: Lose Fat
Select if your goal is to lose fat.
Yes
No
4
Goal: Gain Weight
Select if your goal is to gain weight.
Yes
No
5
Goal: Gain Muscle
Select if your goal is to gain muscle.
Yes
No
6
Current Diet Habits
Briefly describe your current diet habits.
7
Physical Activity Level
How active are you on a daily basis?
8
Food Allergies
Do you have any food allergies or dietary restrictions?
9
Favorite Healthy Foods
List some of your favorite healthy foods.
10
Least Favorite Healthy Foods
List some healthy foods you dislike.
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