Njawatech Solutions

We deal with custom website solutions consisting of but not limited to web design and development, SEO, SEM, analytics, social strategy and conversion optimization,CMS Customization(Wordpress,Joomla,Drupal,Presta Shop,Magento)

If you are looking to lose weight, then a weight loss consultation might be appropriate for you

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Diet Plan Questionnaire Form

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Your Name

Personal Details

1. Your Mobile Number
2. Your Gender
3. Your Age
4. Your Weight
5. Your Email Address
6.

How many meals do you take Per Day on Average

7.

What do u take for BreakFast

8.

What time do you take your breakfast

9.

What do u take for Lunch

10.

What time do you take your Lunch

11.

What do u take for Dinner

12.

What time do you take your Dinner

13.

How Often do take Junk Per Week

14.

How Often Do u take Soft Drinks Per Week

15.

Are you Allergic to any Foods..Kindly List them Below

16. What did you take on Monday.Fill in the Spaces Provided
(Breakfast,Lunch,Supper)
17. What did you take on Tuesday.Fill in the Spaces Provided
(Breakfast,Lunch,Supper)
18. What did you take on Wednesday.Fill in the Spaces Provided
(Breakfast,Lunch,Supper)
19. What did you take on Thursday.Fill in the Spaces Provided
(Breakfast,Lunch,Supper)
20. What did you take on Friday.Fill in the Spaces Provided
(Breakfast,Lunch,Supper)
21. Do You WorkOut
22. What Kind of Workout

Workout Schedule

23. Monday WorkOut
24. Tuesday Workout
25. Wednesday Workout
26. Thursday Workout
27. Friday WorkOut

Payment Details


Diet Plan Program Ksh 500


Gym Workout Plan Ksh 600


Home WorkOut Plan Ksh 400


Diet Plan+Workout Plan Ksh 800


 

Payment METHODS


Lipa na M-PESA

Till Number 782 865


Skrill Email  njawatech@gmail (dot) com


 


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