Stripe Payment Name * First Last Name * Last Email * Phone * Date of Birth * Gender * MaleFemaleNon-Binary/OtherPrefer Not to Say Current Dietary Habits * Non- VegetarianLow-CarbLow-FatVegetarianVeganOther Other Activity Level * SedentaryLightly ActiveModerately ActiveVery Active Known Health Conditions Allergies or Food Sensitivities * Gluten Dairy Nuts Shellfish None Other Other Allergies or Food Sensitivities Primary Goal for Consultation * Weight LossWeight GainMuscle BuildingImproved Energy LevelsManaging Medical ConditionOther Other Primary Goal for Consultation Preferred Method of Communication * Virtual (Video Call)Phone Call Select Session Duration * 30 Minutes (RS 2000) 60 Minutes (Rs 3000) 90 Minutes (Rs 3500) Payment Method Terms and Conditions * I confirm the information provided is accurate, and I understand the Diet Consultation may include non-refundable fees. I have reviewed the consultation terms and conditions. Book My Consultation If you are human, leave this field blank.
