Getting Started with Primal Plan

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Name*

First Name

Email*

Age*

Weight*

Gender*

Primary health goal*

Biggest struggle right now*

Current Eating style*

How often do you exercise?*

How would you rate your sleep quality?*

How many hours of sleep do you get per night?*

What best describes your work?*

How would you rate your stress?*

How much time do you spend outdoors in the sun daily?*

Do you feel you have strong social connections?*

Privacy Assurance*

Your data will only be used to create the plan and won’t be shared for any other purposes.

Gender

Primary health goal

Biggest struggle right now

Current Eating style

How often do you exercise?

How would you rate your sleep quality?

How many hours of sleep do you get per night?

What best describes your work?

How would you rate your stress?

How much time do you spend outdoors in the sun daily?

Do you feel you have strong social connections?

Privacy Assurance

Your data will only be used to create the plan and won’t be shared for any other purposes.

Getting Started With Primal Plan