Family Wellness Family Wellness Name Name First Name First Name Last Name Last Name Email Phone Relationship to Family * ParentGuardianSpouse/PartnerOther Number of Family Members 2345678910+ Age Groups in Family * Infants (0–2 years) Young Children (3–12 years) Teens (13–18 years) Adults (19–59 years) Seniors (60+ years) What Are Your Family’s Top Health Goals? * Eating Balanced Meals Staying Active Together Managing Stress as a Family Improving Sleep Routines Reducing Screen Time Other Any Specific Concerns? * Preferred Meal Plan Style * Family-Friendly (All Ages)VegetarianMediterraneanCustom Activity Level Across Family * Mostly Sedentary Moderately Active Very Active Stress Management Practices Meditation/Relaxation Techniques Family Walks or Outdoor Activities Regular Exercise None (We’d Like Guidance) Preferred Program Duration * 4 Weeks Rs 40000 8 Weeks Rs 80000 12 Weeks Rs 150000 Preferred Support Format * Virtual (Video Calls)Virtual +Email SupportEmail Support Only Payment Terms and Conditions I confirm that I have provided accurate information and agree to the program’s terms and conditions. Fees are non-refundable. Support My Family If you are human, leave this field blank.
