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 I would like to slim down keeping my food delights

Miss, Madam,
I ask you to complete this questionnaire as precisely as possible so that I learned to know you and can prescribe a custom tailored to your tastes, your habits and your pace. At follow-up of course we can change the regime in terms of improvements that could bring you and depending on the challenges and desires you have. See you soon!

 

Homme     Femme


 yrs


 cm


 kg


 kg


(overweight, illnesses, surgeries ...)


(overweight, diseases ...)

 

 

 

Your food habits

 

Lunch

 

 

Dinner

 

 

 Balance Diet : 25 €
Your prescription plan will be sent shortly, the 1st will be followed after 15 days, then others followed every 3 weeks.

 Coaching package for one month : 40 €
Monitoring every week on a month, the price of 3 is included in the package.