PCOS Meal Plan Preference Questionnaire
PCOS Meal Plan Preference Questionnaire
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
What is your primary meal plan goal?
*
Weight management
Improved energy
Blood sugar balance
Hormonal balance
Other
Preferred dietary pattern
*
Please Select
No preference
Mediterranean
Vegetarian
Vegan
Dairy-free
Gluten-free
Low-carb
Other
Are there any foods or ingredients you wish to avoid or dislike?
Preferred number of meals per day
*
3 meals
4 meals
5 meals
Flexible
Snack preference
*
No snacks
1 snack per day
2 snacks per day
Flexible
How much time do you have available for cooking per meal?
*
Less than 15 minutes
15–30 minutes
30–45 minutes
Over 45 minutes
What is your preferred weekly grocery budget range?
*
Under $50
$50–$75
$75–$100
Over $100
Additional notes or instructions for your meal plan
Submit
Should be Empty: