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Welfare Fitness Studio
Diet Assessment & Intake Form
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Welfare Fitness Studio
Dr. Hemant Gupta (PT & Dietician) | Mobile: +91 6377139340
Patient Name:
Age/Gender:
Age/Gender:
Weight / Height:
Diet Type:
Diet Type:
Main Goal:
Medical Profiles:
Medical Profiles:
| Meal Timings | Day 1 | Day 2 | Day 3 | Day 4 | Day 5 | Day 6 | Day 7 |
|---|
💡 Personalized Clinical Guidelines:
- Drink 3-4 liters of water daily to maintain metabolic rate and hydration.
- Take your recommended meals/supplements on time as suggested by Dr. Hemant Gupta.
- Keep a gap of 1.5 hours between tea/coffee and your main meals or calcium supplements.