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Consultation
Individualized yoga and nutrition support—aligned with your body’s unique needs
Name
*
Date of Birth
*
WhatsApp Number
*
Occupation
*
Place of Residence
*
Place(s) of Birth & Childhood
*
Main health concern and its duration
*
Any family history of the above concern
*
Any habit of drinking/ smoking etc . (if yes please specify duration, frequency and quantity)
*
Diet preference
*
Vegetarian
Eggetarian
Non-Vegetarian
Staple food (food combinations) as per family/ culture/ region
*
Any major cravings
*
Wake up Time
*
Hours
Minutes
AM/PM
AM
PM
Bed Time
*
Hours
Minutes
AM/PM
AM
PM
Daily water consumption
*
Current activity level
*
High
Moderate
Low
Stress level
*
High
Moderate
Low
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