Poshana.life Consultation Form

Personalized Diet & Nutrition Intake

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Section 1

Basic & Anthropometric Details

Let's start with your essential information. This helps us understand your baseline metrics.

We will store your height in centimeters for accurate analysis.

Section 2

Goals & Motivations

Understanding your objectives helps us create a plan that resonates with your aspirations.

Section 3

Medical & Family History

Your health background helps us tailor safe and effective recommendations.

This information is confidential and will only be used to assess your nutritional needs and safety considerations.

Section 4

Medications, Supplements & Labs

Let us know about your current supplement regimen and recent lab work.

Section 5

24-Hour Dietary Recall

Please recall everything you ate/drank yesterday. Be honest — it helps us spot patterns!

Examples: Breakfast: 2-3 idlis with sambar, or dosa, or upma. Lunch/Dinner: Rice + dal + veg curry + curd.

Section 6

Dietary Pattern & Preferences

Understanding your food culture and restrictions helps us create a sustainable plan.

Leave blank if none

Section 7

Eating Behaviour & Lifestyle

Your daily habits significantly impact your nutritional success.

Section 8

Program Interest

This helps us understand whether you want a full guided program, a one-time consultation, or just information for now.

Programs & pricing

Support options for every stage of your wellness journey. Begin with a focused consultation, continue with targeted follow-ups, or choose a longer program for stronger accountability and structured nutrition support.

Consultations

First-time counseling + 7-day plan

One-time consultation with a structured 7-day plan to start with direction and clarity.

Rs. 999

One-time counseling + customized plan

Flexible long-term customized plan with one follow-up call within 15 days.

Rs. 1,499

Follow-ups

Progress review follow-up

For existing clients after the first consultation; reviews progress without a new diet plan.

Rs. 399

Follow-up + new customized plan

Follow-up counseling call with an updated diet plan and fresh customization.

Rs. 799

Programs

Best value

Basic Program

1 month program with 4 follow-up calls or counseling sessions and a weekly-based diet plan.

Rs. 2,999

Advance Program

3 month program with 6 follow-up calls or counseling sessions and a diet plan once every 15 days.

Rs. 6,999

CGM Signature Program

CGM-Based Diabetes Reversal Program

Understand your glucose, improve your metabolic response, and support diabetes reversal with real-time monitoring and guided analysis.

Format: 1 month or 3 months

CGM Signature 1 month

1 CGM cycle over 15 days, personalized glucose analysis, 1 expert consultation, and intro-level nutrition and lifestyle steps.

Rs. 15,000

Recommended
CGM Signature 3 months

3 CGM cycles across 3 months, deep trend analysis, multiple expert sessions, and a full guided strategy for lasting reversal.

Rs. 42,000

DietDNA Signature Program

DietDNA Blueprint

A 15-day program combining CGM with clinical biomarkers so clients can finally see exactly how their body responds to food.

What's included

15-day CGM, biomarker analysis, personalized food blueprint, metabolic insight report, and a 1:1 expert consultation.

Who this is for

People who want data-backed clarity for energy, weight, metabolic health, and a truly personalized nutrition strategy.

Rs. 16,999 Metabolic care upgrade: +Rs. 3K to 8K if advanced support is recommended

Want to explore all details on the website?

You can review programs, pricing, and details on Poshana.life before deciding what feels right for you.

See programs on Poshana.life
Final Section

Final Details & Submission

Almost there! Just a few more details before we create your personalized plan.

Ready to Submit?

By submitting this form, you confirm that all information provided is accurate to the best of your knowledge.

Your data is encrypted and stored securely

Best next paid step

First-time counseling + 7-day plan

Based on your current answers, this is the simplest way to move from intake to a clear nutrition action plan.

Rs. 999

Low-friction first step

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