Screening Questionnaire

1. Which approach would you prefer for your 3-month transformation?

Aggressive: a more intensive approach focused on measurable results within 3 months. Results vary by individual.

Flexible: a balanced approach designed to build habits you can maintain for life.

Aggressive fat-loss approachFlexible, sustainable diet

2. What is your primary fitness goal? (Select all that apply)
Fat loss and belly-fat reductionBody recomposition and muscle definitionMuscle gain and strengthPostpartum recoveryImproving overall fitness and health

3. How ready are you to commit to a 3-month programme?
Ready to startNeed more informationHave practical challenges to resolve first

4. Please share your basic details.

Previous significant weight loss/gain (optional)

5. Which of the following apply to you? (Select all that apply)

If you select Other health condition, you may share details during your consultation.

Postpartum recoveryBreastfeedingDiastasis recti (DR)Pelvic floor concernsPCOD/PCOSHormonal imbalance, including thyroid conditionsPerimenopause or menopauseKnee, back or other joint problemsOther health conditionNone of the abovePrefer to discuss privately

6. Are you taking any medication or have you been advised to modify exercise or diet for medical reasons?

If yes, relevant details can be shared privately during the consultation.

YesNoPrefer to discuss privately

7. What best describes your dietary preference?
VegetarianEggetarianNon-vegetarianMostly vegetarian, occasionally non-vegetarian

8. Which foods are you comfortable including in your diet regularly? (Select all that apply)
EggsPaneerMilk/curdDalPulses/legumesSoy/tofuChickenFishMuttonProtein supplementsWhole-wheat rotiLow-GI or low-carb atta rotiWhite/brown riceRice flourQuinoaRagiJowarBajraOatsGreen leafy vegetablesTubersOpen to all kinds of vegetables

9. Which dairy products or fermented drinks do you consume? (Select all that apply)
MilkCurdChaachKanjiNone of these

10. What meal pattern suits your lifestyle?
Three meals a dayTwo meals a dayFlexible as per my customised plan

11. Are you comfortable trying new recipes?
Yes, using home-based ingredientsNo, I prefer familiar, home-cooked meals

12. Which additional drinks or foods would you be comfortable including? (Select all that apply)

These are optional additions, not requirements for detoxification or fat loss.

SoupsHerbal drinks or traditional concoctionsFruit or vegetable juicesSugar-free beveragesNone; I prefer my usual drinks

13. How often do you eat out, and what would you prefer?
A. Frequency
Rarely/never1–2 times a week3+ times a week
B. Preference
Healthier options when eating outOccasional indulgent mealsA combination of both

14. Do you smoke/use tobacco or consume alcohol? (Select all that apply)

If applicable, frequency can be discussed during your consultation.

NeitherSmoking or tobaccoAlcoholPrefer to discuss privately

15. How many days per week can you work out?
4 days5 days6 days

16. Where and when do you prefer to work out?
A. Location
GymHomeBoth
B. Timing
Strictly morningStrictly eveningFlexible; can split workouts throughout the day

17. What is your comfortable daily walking target?
Less than 5,000 steps8,000–10,000 stepsMore than 10,000 steps

18. Which supplements would you be comfortable considering? (Select all that apply)

Selecting a supplement does not mean it is automatically needed or will be recommended. Recommendations depend on individual needs, dietary intake and relevant medical guidance.

Protein supplementMultivitaminOmega-3Vitamin D3 + K2CalciumCollagenIsabgol/fibreMagnesiumPrefer food-based nutritionNeed guidance

19. What type of 3-month plan would you prefer?

Nutrition and exercise are included in every programme; only the primary focus or level of emphasis differs.

More diet-focusedBalanced diet and exerciseMore exercise-focused

20. How often would you prefer to interact with your coach (Diksha)?
Daily interactionWeekly follow-upWhenever I need help

21. How consistently can you commit to sending updates?
Daily — supports strong accountabilityOnce a weekOnly when I need help; I prefer no forced follow-ups