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Detailed Meal Plan

LKR 6,000 / one-time · Custom plan delivered within 48-72 hours

Hey there, thank you for choosing my meal plans. Please fill out this form honestly so I can create a nutrition plan suited to your lifestyle, eating habits, and goals.

Please read before filling in: Submitting this form does not confirm your place. After reviewing your answers, I'll contact you with payment details. Your program will only be created after payment is completed. Personalized plans are non-refundable once prepared.

Section 1

Diet Readiness (PAR-Q)

If you answer Yes to any question below, consult your doctor before starting this plan.

Has a doctor ever told you that you have a heart condition, diabetes, kidney disease, high blood pressure, or another medical condition affected by diet? *

Have you ever been diagnosed with an eating disorder? *

Are you currently under medical supervision for weight, blood sugar, or any other health condition affected by diet? *

Are you pregnant or breastfeeding? *

Do you have any food allergies or severe intolerances? *

Section 2

Personal Information

Section 3

Health & Medical

Do you have any medical conditions affected by diet? (e.g. diabetes, high blood pressure, PCOS, thyroid issues, kidney disease) *

Are you taking any medications? *

Do you have any food allergies or intolerances? *

Section 4

Lifestyle & Food Preferences

Section 5

Acknowledgement

After submitting, I'll contact you on WhatsApp within 24 hours with payment details. Plan delivered within 48-72 hours of payment.

Something went wrong. Please try again or contact via WhatsApp.

Application Received!

Thank you for your interest in the Meal Plan. I'll review your details and reach out on WhatsApp within 24 hours with payment instructions.

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