AI Weekly Food Plan Questionnaire
AI Supplement Recommendation Questionnaire
AI Weekly Food Plan Questionnaire
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Name
First
Last
Email
Age
*
Gender
*
Male
Female
General Health and Background
Do you have any medical conditions or food allergies?
*
Yes
No
(E.g., diabetes, lactose intolerance, gluten sensitivity.)
out you Age
What type of medical conditions or food allergies?
Do you take any medications or supplements?
*
Yes
No
(E.g., multivitamins, protein powders, or omega-3s.)
What types of medications or supplements?
Do you have any dietary restrictions or preferences?
Yes
No
(E.g., vegetarian, vegan, religious dietary rules, or dislikes.)
What are your dietary restrictions or preferences?
Lifestyle and Daily Routine
How many hours do you spend at Work/School?
*
Do you work out before or after school or work?
Before
After
Both
I do not work out
On average, how may hours of sleep do you get per night?
*
Do you prepare your own meals, or do others cook for you?
*
I prepare my own meals
Others cook for me
How often do you eat out or order takeout?
*
1-2 times a week
3-4 times a week
5 more times a week
Fast food, Restaurants, Anywhere other than home
Fitness and Performance Goals
What are your specific goals?
Muscle Gain
Fat Loss
More Energy
How often do you exercise?
I do not exercise
1-2 days a week
3-4 days a week
5 or more days a week
What types of workouts do you do?
Free Weight or Machines
Cardio
Sports
Preferences and Practicality
What foods do you enjoy eating the most?
*
Beef
Chicken
Fish
Eggs
Vegetables
Fruits
Grains
Are there any foods you dislike or avoid?
Yes
No
Please specify which foods you dislike or want to avoid
How much time do you have to cook and prepare meals?
less than 30 minutes
1-2 hours
3 or more hours
Do you have a budget for groceries?
Yes
No
Term and Conditions of this Form
*
I agree to the terms and conditions of this form
Last Updated: 11/13/2024
By using and submitting information through this AI-driven recommendation form, you acknowledge and agree to the following terms and conditions. Please read these terms carefully, as they contain important disclaimers and limitations of liability. If you do not agree with these terms, please do not proceed with the form.
Not Medical Advice
The information provided by this form, including any supplement recommendations, is generated by artificial intelligence (AI) and is intended solely for informational and educational purposes.
This form does not provide medical, health, or nutritional advice and is not intended to replace consultation with a licensed healthcare provider.
You are strongly encouraged to seek the advice of a licensed physician or other qualified healthcare provider with any questions you may have regarding a medical condition, diet, or supplement regimen.
AI Limitations and Disclaimers
This form utilizes AI technology, which is subject to limitations, inaccuracies, and possible errors. While the form is designed to provide helpful information based on your inputs, AI may produce incorrect, incomplete, or outdated recommendations.
We do not guarantee the accuracy, completeness, or applicability of any recommendations generated by this form.
No Guarantee of Results
The recommendations provided by this form may vary widely and are not guaranteed to produce any specific health or fitness results. Any reliance on the recommendations provided is at your own risk.
Supplement effectiveness and suitability can vary significantly from person to person, and recommendations provided may not be appropriate for all individuals.
Assumption of Risk
By using this form and implementing any supplement recommendations, you acknowledge and accept all risks associated with these actions, including but not limited to adverse health effects, allergic reactions, or other potential risks associated with supplement use.
You assume full responsibility for any consequences that may arise from following or interpreting recommendations provided by this form.
Limitation of Liability
To the fullest extent permitted by applicable law, we disclaim all liability for any direct, indirect, incidental, special, consequential, or exemplary damages arising from or related to the use of this form or the recommendations provided.
By using this form and agreeing to these terms, you waive any right to pursue legal action or claims against the website owner, the form provider, or any related parties based on the information or recommendations provided by this form.
Indemnification
You agree to indemnify, defend, and hold harmless the website owner and related parties from and against any claims, liabilities, damages, losses, or expenses, including legal fees, arising from or related to your use of this form and the information provided.
Acknowledgment of Terms
By checking the “I Agree to the Terms and Conditions” box and submitting this form, you acknowledge that you have read, understood, and agree to be bound by these terms and conditions.
You further agree that you are voluntarily assuming any risks associated with following recommendations provided by this form and that you waive any right to hold the website owner, form provider, or related parties legally responsible for any outcomes resulting from your use of this form.
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