Registration Form – Carine Monzer

· Full name *

Email *

Password *

Whatsapp phone number *

Country of residence *

Age *

Gender *

Social status *

number of kids *

Height (cm) *

Weight (kg) *

How many meals do you eat per day? *

Describe shortly what kind of food you usually eat *

Do you exercise? *

If yes, how many times in week?

Any food allergies or intolerance? *

If yes, what food you are allergic or intolerant?

Do you have any medical condition or chronic disease? *

If yes what?

Do you take any medication? *

If yes what?

Have you undergone surgery? *

Do you take any supplement? If yes what?

Do you smoke? *

Do you drink alcohol? *

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