Personal Information
Name
*
First Name
Last Name
Phone Number
*
Email
*
Abc@example.com
Gender
*
Male
Female
N/A
Age
*
Weight in Kg
*
Height in cm
*
What is your goal
*
Muscle building
Fat loss
Maintaine current weight
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Workout Program information
How much workout experience do you have?
*
Beginner [ < 1 year ]
Intermediate [ 1 - 3 year ]
Advance [ 3 + year ]
how many times a week do you workout
*
Do you have any kind of injury?
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Diet plan information
Which Type Diet You preferred ?
*
Vegetarian
Non-vegetarian
Vegetarian but Eat Eggs
Other
Personal Activity Level
*
Sedentary ( desk job, minimal walking )
Light active ( Spending a good part of the day on your feet (e.g. teacher, salesman )
Active ( Spending a good part of the day doing some physical activity (e.g. waitress, mailman) )
Very Active [ Spending most of the day doing heavy physical activity (e.g. bike messenger, carpenter) ]
How many meals Do you want to eat per day?
*
Choose Your plan
*
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( X )
Customized Workout & Nutrition Plan ( 4 week )
Free for the first
Five Days
then,
49.00
INR
for each
month
Customized Workout & Nutrition Plan ( 8 week )
Free for the first
Five Days
then,
99.00
INR
for each
two months
Customized Workout & Nutrition plan
Free for the first
Five Days
then,
129.00
INR
for each
three months
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
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