Please complete the intake form below. The information collected from this form will help us further customize your meal plan that is guided by your DNA-based dietary recommendations. Thank you!
Select what best describes your current activity level below.
Sedentary: Typical daily activities (e.g., household tasks, walking to the bus)
Low Active: Typical daily living activities PLUS 30-60 minutes of daily moderate physical activity (e.g., walking about 1.5 to 3 miles per day at 3 to 4 miles per hour)
Active: Typical daily living activities PLUS at least 60 minutes of daily moderate physical activity (e.g., walking more than 3 miles per day at 3 to 4 miles per hour)
Very Active: Typical daily living activities PLUS at least 60 minutes of daily moderate physical activity PLUS an additional daily 60 minutes of vigorous activity or 120 minutes of moderate activity.
Extremely Active: Very hard exercise, sports, or a physical job that are beyond the activities for Very Active.
MEDICAL ADVICE DISCLAIMER
This meal planning program is for information purposes only and is not intended to be used as medical advice, or to treat, diagnose or cure any medical condition or disease. It is intended for general health and wellness purposes only and is not specific to clients who require a specific nutrition care plan based on a certain disease or condition. The meal plan is not designed, intended, or appropriate to replace the independent clinical judgement or the relationship you have with your health care professional, or to address any medical condition. Clients with medical conditions should not change or stop their medications or medical care without consulting with their health care professional first.
If you have questions, please contact us at [email protected]. For the Nutrigenomix Terms of Use and Privacy information please visit our website at www.nutrigenomix.com.
Please check the box to confirm that you have read, or have had read to you, all of the above statements in the Medical Advice Disclaimer and that you understand the information regarding your customized meal plan.
