SunGoods Wellness & Nutrition Consultation Form Please complete this form as accurately as possible. This information is confidential and will be used only to create your personalized wellness strategy. 1. Personal Profile Full Name Date of Birth Gender MaleFemaleOther Email Occupation Mobile No. 2. Health & Body Metrics Current Weight (kg) Height (cm/ft) Target Goal Weight (kg) Wellness Goals Weight Loss YesNo Weight Gain YesNo 3. Medical History Are you currently being treated for any of the following? Diabetes (Type 1 or 2)HypertensionHigh CholesterolThyroid IssuesPCOSDigestive Disorders Other Medications Food Allergies 4. Dietary Habits Primary Diet Type OmnivoreEggetarianVegetarianVeganOther Cravings or "Problem" Foods 5. Book Your Slot Select Time Slot 10:00 AM - 1:00 PM1:00 PM - 3:00 PM4:00 PM - 8:00 PM 6. Informed Consent I understand that the information provided is for nutritional and wellness consultation purposes only and does not substitute for medical advice from a physician.
