FEEL THE TASTE OF HEALTH WITH CityDiet!

Looking for the right diet for yourself?
At CityDiet, we will compose your individual nutritional plan taking into account all your needs,
intolerances and preferences.

Answer the following questions and we will guide your diet!

First and last name* mandatory field

Email address* mandatory field

Phone* mandatory field

Address for delivery

Postcode* mandatory field / enter the postal code without the hyphen

City/town* mandatory field

Date of birth

Height* mandatory field

Body weight* mandatory field

Favourite products / dishes * mandatory field

Products / dishes you want to exclude * mandatory field

Your physical activity* mandatory field

Your expectations regarding dietary catering* mandatory field

Detailed nutritional questionnaire:

Body circumference in centimeters:

Waist, hips

Current / past diseases and ailments

Drugs, dietary supplements and herbs used

Any food allergy? What?

Any ailments, malaise after certain foods? If so, please describe.

Mode and hours of work

Previous diets. How long did you use them, with what result? How did you persevere in them? Why were they interrupted? What bothered you in them?

What do you usually eat for:

Breakfast

Elevenses

Lunch

Dinner

other snacks

The amount of fluids you drink during the day

Do you add milk / cream to the coffee?

YES

Do you sweeten beverages?

YES

Do you sweeten beverages? Sugar, sweeteners, honey, syrups, etc.

YES

I consent to CityDiet sending commercial information regarding its activities, products, diets, competitions or promotional and marketing campaigns organised by it to the above-mentioned e-mail address.

I agree to be contacted by CityDiet (by phone and SMS/MMS) to the above-mentioned telephone number in order to present commercial information about its activities, products offered, diets, competitions organised by it or promotional and marketing campaigns

You may withdraw any of the above consents at any time without affecting the lawfulness of the processing which was carried out on the basis of consent before its withdrawal.

Administratorem Pani/Pana danych osobowych w związku z prowadzoną korespondencją jest CityDiet. Ma Pani/Pan prawo do prawo dostępu do Pani/Pana danych oraz prawo żądania ich sprostowania, sprzeciwu, ich usunięcia lub ograniczenia ich przetwarzania, jak również prawo wniesienia skargi do Prezesa Urzędu Ochrony Danych Osobowych. Więcej informacji na temat celu i sposobu przetwarzania Pana/Pani danych osobowych znajduje się TUTAJ.

*Pole wymagane

FEEL THE TASTE OF HEALTH WITH CityDiet!

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