Your Personal Health Plan
Personal Information
Name
Health & Medical
Weight (kg)
Height (cm)
Age
Gender
Male
Female
Your BMI
Ideal BMI is between 18.5 and 24.9.
Target Weight (kg)
Timeline (months)
Diabetes Medication (if any)
Cholesterol/Triglyceride Medication (if any)
Supplements Currently Taking
Vitamin D3
Vitamin B12
Iron
Other Health Conditions
Recent Blood Pressure
Normal
High
Low
Food Preferences & Restrictions
Protein Sources
Eggs
Fish
Chicken
Mutton
Restrict Red Meat
Dairy Consumption
Milk
Curd/Yogurt
Paneer
Cheese
I am lactose intolerant
Preferred Carb Source
Rice
Roti/Chapatti
Millets
Oats
Mixed
Foods to Avoid (Allergies, Dislikes)
Preferred Cooking Method
Boiled/Steamed
Grilled
Lightly Fried in Healthy Oils
Any
Snacks & Beverages
Lifestyle & Logistics
Meal Prep
Are most meals home-cooked or ordered out?
Home-cooked
Order out
Mix of both
Time available for cooking daily?
< 30 minutes
30-60 minutes
> 60 minutes
Available Kitchen Equipment
Fridge
Microwave
Oven
Air Fryer
Blender
Steamer
How many times a week do you eat outside?
Sleep Schedule
Stress Levels
Low
Medium
High
How much water do you drink daily (in liters)?
Do you travel often for work?
No
Yes, domestic
Yes, international
Goal Clarity & Preferences
Preferred Weight Loss Pace
Slow & steady (0.5 kg/week)
Aggressive but safe (0.8-1 kg/week)
Are you okay with a lower-carb diet for better diabetes control?
Yes (requires careful blood sugar monitoring)
No
Are you open to cutting down refined carbs, sweets, alcohol for triglyceride reduction?
Yes, I'm ready
Not completely
Do you want a planned weekly cheat meal?
Yes
No
Dietary Plan Type
Blended (Veg/Non-veg daily choice)
Vegetarian only
Non-vegetarian focused
Any food budget constraints?
How do you plan to monitor blood sugar?
I have a glucometer
I use/plan to use a CGM
I don't monitor regularly
Access to Sporting Facilities
Gym
Tennis
Badminton
Swimming Pool
Squash
Table Tennis
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