Hemiah By Nihal El Abd

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* 1. Email address

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* 2. First Name

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* 3. Last Name

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* 4. Gender

Female

Male

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* 5. Age

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* 6. Height in cm

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* 7. Current Body Fat%

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* 8. Please upload your InBody Scan

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 9. How do you characterize your current Diet?

I plan ahead what I will eat everyday

I eat whatever is available

I order ready made food (take away ) most of the time

Other

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* 10. Please share any current medical condition. (Anemia, Food allergies..etc.)

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* 11. What are your specific goals during this program ? *

Pure Weight Loss

Decrease of Body fat%

Maintenance - Learn to have a balanced diet

Weight Gain

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* 12. How did you know about Hemiah Program?

Social media platform

Google Search

Engage Sports Academy

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* 13. Which Program do you want to join *

Customized Macro Count (450 EGP)

Customized Macro Method (2400 EGP)

Weight loss Program (1800 EGP)

Hemiah By Nihal El Abd

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* 1. Email address

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* 2. First Name

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* 3. Last Name

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* 4. Gender

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* 5. Age

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* 6. Height in cm

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* 7. Current Body Fat%

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* 8. Please upload your InBody Scan

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* 9. How do you characterize your current Diet?

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* 10. Please share any current medical condition. (Anemia, Food allergies..etc.)

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* 11. What are your specific goals during this program ? *

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* 12. How did you know about Hemiah Program?

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* 13. Which Program do you want to join *

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* 14. Please add any comments to consider before starting one of Hemiah's Programs.