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Electronic form
Home
Electronic form
Food Program Data Form
name
Age
Length
Weigth
Neck circumference (cm)
Example
Circumference at the navel (cm)
Example
Pelvis circumference (cm)
Example
Are you taking medication for any reason (if any)
Are you taking nutritional supplements or vitamins (name them grandmothers)
What is your goal
Weigth decrese
weigth increase
imporve health
improve train
other
Wake up roughly
Eating times are approximate
Mention examples of food and its quantity
The start and end date of work
Sports training date
what is your sport
How many meals are available to you and when is the best time to eat them
Do you have any food allergy?
Send