Personal Details

Let's start with your basic information

Full Name *

Email Address *

Age (Years) *

Height (cm) *

This helps calculate your dietary needs

Weight (kg) *

Used for personalized recommendations

Activity Level *

Normal Day Diet Preferences

Tell us about your dietary needs for regular days

Why do you need diet changes? *

Preferred Diet Type *

Dietary Restrictions/Allergies

Dairy Free

Gluten Free

Nut Allergy

Seafood Allergy

Food Cravings/Preferences

Health Conditions (if any)

Your Menstrual Cycle & Period Preferences

Track your cycle and tell us about period day preferences

Last 3 Period Start Dates *

Enter your last 3 menstrual cycle start dates (most recent first)

Period 1 (Most Recent)

Period 2

Period 3 (Oldest)

Typical Cycle Length (days) *

If unsure, we'll calculate from your dates above

Period Duration (days) *

How many days does your period last?

🩸 Period Day Preferences

Common Symptoms During Period

Cramps

Bloating

Mood Swings

Fatigue

Period Cravings

Mood During Period

💪 Health Metrics & Tracker

Track your health metrics for better recommendations

Blood Pressure (Systolic) mmHg

Optional - helps track cardiovascular health

Blood Pressure (Diastolic) mmHg

Hemoglobin Level (g/dL)

Important for females (normal 12-16 g/dL)

Fasting Blood Sugar (mg/dL)

Optional - helps track diabetes risk

Total Cholesterol (mg/dL)

Optional - for heart health monitoring

Medical History/Conditions

Diabetes

Thyroid Issues

PCOS

High BP

Anemia

IBS

Fitness Goals

Weight Loss

Build Strength

Flexibility

Endurance

Exercise Frequency (days/week)

Average Sleep (hours/night)

Important for hormonal balance

Personal Details

Normal Day Diet Preferences

Your Menstrual Cycle & Period Preferences

🩸 Period Day Preferences

💪 Health Metrics & Tracker

Your Personalized Diet Plan

📊 Your Health Dashboard

📋 Help Us Improve Your Experience

📅 Next Cycle Planning