Meal Plan Analysis

Welcome to your Meal Plan Analysis

This analysis will be utilized to make you a personalized meal plan. Answer each question as thoroughly as possible. If you do not know the answer to a question type "IDK". It is very important that weight, and height are answered accurately. If you have questions contact us before quiz and payment.

Name

Email

How old are you? By submitting this survey and payment you agree you are at least 18 years old.

Are you a Male or Female?

Male

Female

How tall are you?

How much do you weigh?

Why do you want to lose/gain/maintain weight?

What is your goal?

To lose weight

To gain weight

To maintain weight

Do you have chronic conditions? If so, which conditions do you have?

Do you have a family history of diabetes, high cholesterol, high blood pressure, heart attack, stroke, or thyroid disease?

Example:
Mother - diabetes
Father - diabetes
Sister - diabetes

Which type of meal plan would you prefer?

Vegan Meal Plan

Plant Based Only Meal Plan

Vegetarian Meal Plan

Meat inclusive meal plan balanced with plant based foods

Be very honest here: How often do you work out? What will your exercise regimen be moving forward?

What is your monthly or weekly budget?

Would you like your meal plan delivered via paper or digital PDF?

Paper

PDF

By checking the box below you understand that you will be subscribed to the sites updates and newsletters, you understand that the information in your Meal Plan Packet is not meant to diagnose or treat any condition. This information is to be read and utilized at your own will, and the author is not responsible for any outcomes that come from utilizing this information. This information may be discussed with and adjusted by your dietitian, nutritionist, or medical provider for a more personalized plan. You also understand that your payment is non-refundable after 48 hours of the site operators receipt. You are also in agreement with the privacy policy and terms & conditions of this site that can be found at the end of each page. If you have any questions feel free to contact us via the Contact Page or at contact@thestrugglingvegetarian.com.

I agree with the above statement.

Enter First Name and Last Name:

Enter Email Where You Will Receive Materials: