My Weight Loss Journey

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

My Weight Loss Journey

You can lose weight faster than you could have ever imagined and yes! there are no strings attached. Only thing that matters is 'your commitment', which can keep you motivated to do few simple things for periods long enough to actually make a difference.

But Losing weight is not always easy:

It cannot happen overnight like magic.
You don’t need to turn your life upside down. It's like growing a plant; even excess water and care can ruin it. Make a plan and let it simmer till it becomes a routine.
Few small steps taken persistently everyday will bring a big change.

We would love to be a part of your weight loss journey...

How old are you? *

< 40 yrs

40 to 60 yrs

>60 yrs

Gender *

Male

Female

Other:

Your current weight (in Kgs) is *

Your height is *

Your Target weight is *

Why do you want to lose weight? *

I am fit and want to stay fit/healthy.

Weight gain is my problem. Need to go back to shape

At risk of having lifestyle diseases like diabetes, high BP, cholesterol etc.

Already have lifestyle diseases like diabetes, high BP, cholesterol etc.

I don't know, losing weight is the new fad. So, why not?

Required

What do you think will help you reach your target weight most? *

Diet Changes/fasting to cut calories

Diet modifications for healthy calories

Exercise/ yoga etc.

Alternate medicine options like ayurveda/ homeopathy etc

Consulting experts

Other:

Required

Your Whatsapp No./ Phone no/ insta id/ email id etc., where we can reach you to send a complementary voucher code, is: *

Would you like our experts to reach out to you to help you lose weight faster? [you can unsubscribe from mailer list any time.] *

Yes

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms