Start Assessment Start Assessment Learn to eat mindfully. Psychology is the key to lasting change. Start Assessment Name: Age:15-2020-2525-3030-3535-4040-4545-5050-5555+ Height: Weight: Email Address: Eating Pattern:VegNon VegOva Veg Past Diet History:Doing first timeHave tried earlier Gained againHave tried earlier it didn't workHave tried many times Occupation:JobBusiness personStudentNot doing anythingHomemaker If You Work How Many Hours of Work Do You Have:4 Hourse6 Hourse8 HourseNot FixedI Don't Work If You Work Do You Work in Shifts:YesNoI Don't Work Blood Group:A+B+Ab+A-B-O+O-Ab- Number of Meals You Generally Eat:12346 Do You Do Any Physical Activity:Yes DailyYes SometimesNo Medical Condition:DiabetesPcod/PcosThyroidHypertensionKidney DisorderHeart Related DisorderAnxiety/DepressionLiver Related DisorderGall Baldder StoneDigestion IssuesNone Are You Allergic to Any Food Items:YesNo Are You Alcoholic:Yes Very OftenYes OccasionallyNo Never Do You Smoke:YesNo Do You Eat Outside Food:Yes Very OftenYes RarelyNo If You Eat Outside Then How Many Times Do You Eat Out:DailyThrice A WeekTwice A WeekI Don't Eat Out Contact Number: