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Welcome to the fit and free Keto paleo six weeks program.

Opening Hours

Monday – Sunday
8am – 9pm

Contact Info

(+968) 95471650
hello@ketowithfriends.com ketowithfriends@gmail.com

Welcome on board,

Before we begin, I just want to let you know you are beautiful from the root of your hair to the soles of your feet and you are vibrantly healthy.

Excited that you could join us this is an amazing program, that will help you take control completely of you, physically and mentally. You officially begin on the 5th of February to view the topics and officially meet your coaches from the website. Please complete this questionnaire and be specific we need all the information. Before the Program begins you will receive a few bonus materials to help you get fully prepared.

Name *

Email *

Email

Confirm Email

Age *

Enter Current weight in kg *

Goal weight in Kg *

Measurements in arms, chest,waist, hips and thighs *

Please specify if you have joined any of our previous programs or challenges. *

Please specify your level on the keto diet.

Beginner
Non beginner
Starting all over
Currently on keto
others

Please specify your level on the paleo diet.

Beginner
Non beginner
Starting all over
Currently on Paleo
others

Current activity level for exercising

Sedentary
Lightly active
Moderately active
Very active
Extremely active

What previous steps have you taken to lose weight? *

Why have you chosen this lifestyle? *

How motivated are you to lose weight?

Motivational Rate: 1

Scale of 1 -10

What are your current energy levels?

Energy Rate: 1

Scale of 1 -10

How is your stress tolerance level do you get easily irritated?

Tolerance level: 1

Scale of 1 -10

How do you rate your sleep quality?

Sleep Quality: 1

Scale of 1 -10

How many hours do you sleep daily?

Hourly: 1

Scale of 1 -10 hrs

Where do you hold the most fat? *

Arms
Chest
Upper Belly
Lower Belly
Backside
Others

Please specify

What food do you crave the most? *

Sweet
Salty
Spicy
Fried
others

Can you hold your breath for 1 minute *

Yes
No

When last did you go for a check up *

Before 6 months
After 6 months
Over a year
Never had a check up

Do you get a strong urge to pee but it's just little fluid that releases? *

Yes
No

Typical meals daily, snacks and alcohol included *

Any health Challenges? *

Do you experience back pain, shoulder pain, heaviness in the legs, difficullty going up the stairs, headaches/ migraines, cold or hot feet *

When did you start gaining weight? Was it through childbirth, trauma, surgeries or change of eating (please specify) *

How long is your monthly cycle, do you experience pain? Specify if you had any history surgeries, accidents or traumatic experiences. *

Out of all your list previous ailments which was the most severe and frequent e.g flu, fever, cough, headaches etc (please specify) *

What could possibly distract or hinder you from following this program *

Are you currently on any medications, supplements , herbal remedies or birth control pills please specify purpose purpose? *

Do you have an oven? *

Yes
No

Are you willing to share your weight lost journey during the challenge through pictures on our social media platforms? *

Yes
No

Any additional information?

Please we will need a full body checkup during the challenge, this includes a full thyroid test, a full lipid profile, liver function test and electrolytes test. these test helps us to help you.

The wise man should consider that health is the greatest of human blessings. Let food be your medicine.

— hippocrates

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