How familiar are you with the anti-inflammatory diet?

Expert I’ve heard a thing or two Beginner

What is an anti-inflammatory diet?

Anti-inflammatory diet favors fruits and vegetables, foods containing omega-3 fatty acids, whole grains, lean protein, healthful fats, and spices.

Benefits of anti-inflammatory nutrition:

Weight management
Improved mood and wellbeing
Decreased stress levels
Improved sleep
Slower aging

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Do you experience any of these challenges?

Why are we asking this? This may help you determine if you can benefit from the anti-inflammatory nutrition.

Choose as many as you like

Fatigue Excessive weight gain Forgetfulness Brain fog Bloating Quick weight gain Difficulty losing weight None

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What kind of allergies do you have?

Your selection will not be included in your nutrition plan.

Choose as many as you like

Lactose

Eggs

Peanuts

Gluten

Soy

Fish

Shellfish

Citrus fruits None

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How much sleep do you get on average?

Less than 5 hours 5-6 hours 7-8 hours More than 8 hours

How much water do you drink?

Only coffee, tea, or soda Less than 2 glasses (16 oz) 2-6 glasses (16-48 oz) More than 6 glasses

How physically active are you?

Very active (3-4 times per week) Moderately active (1-2 times per week) Not active

What kind of carbs and starchy foods you don’t eat?

Your selection will not be included in your nutrition plan.

Choose as many as you like

I eat them all

Pasta

Regular potatoes

Couscous

Sorghum

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How many meals per day do you prefer having?

3 meals 4 meals (3 meals and a snack) 5 meals (3 meals and 2 snacks)

What are your energy levels throughout the day?

My energy levels do not fluctuate I drag before meals I feel sleepy after lunch

“The plan is super easy to follow. Down 18 lbs and my constant fatigue is gone, too!”

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Select habits that are true for you

Choose as many as you like

Smoking

Late night eating

Not getting enough sleep

Eating too much sweets

Screens before bed

Drinking

Fast food

Nail biting

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I’ve wanted to lose weight for a long time, but I have too much going on to focus on that right now.

Strongly agree Agree Disagree

Someone has to push me. When I get stressed out, I’m more likely to quit.

Strongly agree Agree Disagree

Why do you want to lose weight?

Choose as many as you like

I want to feel better I want to be more attractive I want to improve my self-esteem I want to have more energy I want to improve my health I want to improve my longevity

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How long has it been since you were at your ideal weight?

Less than 1 year 1-2 years More than 3 years Never

What is you age?

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What is your height?

ft cm

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What is your weight?

lb kg

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What is your target weight?

lb kg

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Immudi creates sustainable long-term results through habit and behavior change, not restrictive dieting

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