Holistic Health and Wellness Package Enrollment

Holistic Wellness Package Sign-Up

Integrate Diet & Fitness for Comprehensive Health Improvement

- Step 1 of 8

Personal Information:

Name *

First

Last

Age *

Gender *

Male
Female
Non-Binary
Transgender Male
Transgender Female
Genderqueer
Prefer Not to Say

Gender is a crucial factor in customizing your plan as it significantly influences metabolic rate, nutritional needs, and the body's response to diet and exercise, ensuring the most effective and tailored health strategy for you.

Email *

Your email is essential for us to send personalized plan updates, insightful health tips, and stay connected for any support you need on your wellness journey.

Phone *

Providing your phone number enables us to offer more direct, immediate communication and personalized assistance, ensuring a seamless and supportive experience.

Address / City *

Knowing your address or city helps us tailor your plan with location-based insights, such as local dietary habits, climate considerations, and available fitness resources.

Health and Medical History:

Current Weight *

Weight in kgs

Current Height *

Height in feet

Any existing medical conditions

(e.g., diabetes, hypertension, etc) Please share any existing medical conditions to ensure your plan is safe and effective, accommodating specific health requirements and medical advice.

Allergies

(food or otherwise) Informing us about any allergies, be it food-related or otherwise, is vital to customize a plan that respects these constraints and maintains your well-being.

Current Medications

Listing your current medications allows us to tailor your plan to avoid any adverse interactions and complement your ongoing health treatments effectively.

Dietary Preferences and Restrictions:

Dietary Preferences *

(e.g., vegetarian, vegan, non-vegetarian) Indicate your dietary choices, whether vegetarian, non-vegetarian, vegan, or specific cuisines like South Indian or Andhra, to ensure your nutrition plan suits your taste and lifestyle.

Any specific dietary restrictions *

(e.g., gluten-free, lactose intolerant) Let us know about any specific dietary restrictions, such as gluten-free or lactose intolerance, to ensure your plan accommodates these needs for optimal health and comfort.

Food dislikes or intolerances *

Sharing your food dislikes or intolerances helps us tailor a plan that not only meets your nutritional needs but also aligns with your palate and comfort.

Eating habits and patterns *

(e.g., frequency of meals, late-night eating) Understanding your eating habits and patterns, like meal frequency or late-night eating, allows us to design a plan that seamlessly integrates into your daily routine.

Fitness and Activity Level:

Current fitness level *

(e.g., beginner, intermediate, advanced) Indicating your current fitness level, whether beginner, intermediate, or advanced, helps us create a workout plan that's just right for your physical capabilities and goals.

Regular physical activities or exercises *

Detailing your regular physical activities or exercises provides us with insight into your current fitness routine, aiding in crafting a plan that complements and enhances it.

Fitness goals *

(e.g., weight loss, muscle gain, flexibility) Share your fitness goals, be it weight loss, muscle gain, or improved flexibility, to enable us to tailor a workout plan focused on achieving these specific objectives.

Any physical limitations or injuries *

Disclosing any physical limitations or injuries is crucial for us to ensure your workout plan is safe, effective, and adapted to accommodate your specific health needs.

Lifestyle Information:

Average daily activity level *

(sedentary, moderately active, very active) Knowing your average daily activity level – whether sedentary, moderately active, or very active – helps us customize your plan to match your lifestyle and energy expenditure.

Occupation type *

(e.g., desk job, active job) Information about your occupation type, like a desk job or a more active role, guides us in tailoring your plan to suit your daily routine and occupational demands.

Sleep patterns *

(average hours per night) Your sleep patterns, including the average hours you sleep each night, are vital for us to understand your rest cycle, aiding in creating a well-rounded wellness plan.

Stress levels *

(low, medium, high) Indicating your stress levels, whether low, medium, or high, helps us to tailor your diet and fitness plan to effectively support your mental and physical well-being.

Goals and Preferences:

Primary goal for joining the program *

(e.g., weight loss, overall health improvement) Please specify your primary goal for joining the program, such as weight loss or overall health improvement, to ensure we focus your plan on achieving these key objectives.

Specific targets or milestones (if any) *

Sharing any specific targets or milestones you're aiming for allows us to customize your plan with precise goals, helping you track and achieve tangible progress.

Preferred workout times and duration *

Let us know your preferred workout times and duration to create a fitness schedule that fits seamlessly into your daily routine and maximizes your results.

Equipment availability (for fitness plan) *

Detailing the workout equipment you have available enables us to tailor your fitness plan to the resources you have, ensuring practical and effective exercises.

Additional Information:

Previous experiences with diet or fitness plans *

Sharing your previous experiences with diet or fitness plans helps us understand what has or hasn't worked for you, allowing us to create a more effective and personalized strategy.

Motivation for starting the plan *

Describing your motivation for starting the plan helps us tailor your journey to resonate with your personal aspirations and maintain your drive towards achieving your goals.

Any additional concerns or information relevant to diet or fitness *

Please provide any additional concerns or information relevant to your diet or fitness, as this will help us fine-tune your plan to your exact needs and circumstances.

Consent and Agreements:

Consent to terms and conditions(https://dietnfit.life/terms-and-conditions/) *

I Consent to terms and conditions

By consenting to the terms and conditions, you acknowledge understanding and agreement to our guidelines and policies, ensuring a safe and informed wellness journey.

Acknowledgement of privacy policy(https://dietnfit.life/privacy-policy/) *

I Acknowledge privacy policy

Your acknowledgement of our privacy policy confirms your understanding of how we responsibly handle and protect your personal information in accordance with data protection laws

After submitting your details here, you will be redirected to the payment page. Once your payment is successfully completed, we will begin preparing your personalized diet and fitness plan. Expect to receive your customized plan within 2 to 24 hours, delivered straight to your provided email and WhatsApp contact.
Thank you for choosing DietNFit.Life. We're excited to be a part of your health and fitness journey and are dedicated to providing you with a plan that supports your unique goals.