Registeration for ladies batch

Name
Mobile
Email
Age
Height
Weight

What are your fitness Goals?

Profession you are into

    Type of diet you consume

  • Vegetarian
  • Non- vegetarian
  • Eggetarian
  • Vegan

    Do you have any of these disorder ?

  • Diabetes
  • Blood pressure
  • PCOD/PCOS
  • Thyroid
  • Any injury
  • Other disorder
  • Surgery history in past
  • None
Mention other Disorder/ Surgery

    Do you take medication for the disorder ?

  • Yes
    • Name of medicine?
    • When do you take the medicine?
  • No

Allergy/ intolerant of any foods

    Are you consuming any supplements or powders?

  • Yes
    • Name
    • Dosage
  • No
Diet Goals (eg. weight loss)

Upload your measurements: ( Take a measurement tape and measure all these parts in inches. For thighs measure upper thigh and the lower thigh which is near to your knee) Try to take the measurements early in the morning after using the washroom.

    Neck
    arms ( biceps)
    Chest
    Stomach
    Hips
    waist
    Upper-thighs
    Lower-thighs

    After consultation can your pictures be used for promotional purposes without revealing your face/identity. ( This question is strictly dependent on your approval. All your information will be confidential)

  • Yes
  • No

    The above information is filled by me and is true to my knowledge. If any of the information occurs to be misleading or wrong and leads to any consequences, my dietician/trainer cannot be held responsible for the same. *

  • I Agree