Analytical Form

Please read these terms before filling out the form

1) The food guider in treating chronic diseases relies on plants with a weak effect, which are sold in most stores ((and does not depend on herbal plants or medicines manufactured by humans)) and this means that the treatment period will take a long period that may be extended to be more than three months.

2) Your health condition must be stable, meaning that you can rely on yourself in your life affairs, and you must continue to take the medications prescribed by doctors to keep your health condition stable when you follow the diet until the prescribed medication gives counterproductive results, and then it is gradually abandoned.

3) The cost of designing the food table is $120, noting that the paid amounts are not refundable. Designing the table requires time and effort (as it contains plants that are prohibited to be eaten and plants that must be eaten), so think carefully before answering the form and sending it to us.

4) Before answering the questions on the form, make sure that the person who prepares food for you is sitting next to you or near you, because there are many questions related to how to prepare food and you will find them in the section (Nutritional Profiles). Accuracy must also be sought in answering the method of preparing food.

Physical Features

image showing different types of human body shapes
X

Upper Limbs

Light Dense

Chest Area

Light Dense

Abdominal Area

Light Dense

Lower Limbs

Light Dense
A picture of several people of different skin colors numbered
X
A picture of several people with different hair smoothness
X

**The length of the hair is not important, as the picture is for both men and women

A picture of several people of different faces
X

**The features are approximate, so the picture includes both men and women

**Mention any formal problem that you suffer from or feel that you are different from others

Personal & Behavioral Features

When you wake up what do you do ?
Which of the following behaviors apply to you ?
If you have extra time, what do you do ?
What do you think is the best way to make money ?
How good are you at preparing food ?
What do you do after a heavy meal ?
If a celebrity posts inappropriate content what do you do ?
If someone assaults one of your friends, what do you do ?
If you were on a hike and a building caught fire, what would you do ?
When is the right time to answer the call of nature ?
What is the best way to sleep early ?
How to drive on the highway ?
If something makes you angry, how do you express your anger ?
What thing brings you happiness ?
What do you do if you find a mouse in your home ?
What do you do if a thief tries to rob you ?
If you had an exam tomorrow what would you do?
If a friend left you a small amount of money and it did not come, what do you do?
Are you violent?
Are you brave?
When you're home what clothes do you wear?
If you ride your car at noon and the temperature is 34 degrees Celsius, what do you do :

**Mention any personal problem that you suffer from or feel that you are different from others

Nutritional Features

When you are served a meal, what toppings do you prefer to use?
When adding a spicy flavor to food, what do you prefer ?
What kind of pickles do you prefer?
What is your commitment to eating at home?
What kind of nuts do you prefer ?
What kind of dried fruits do you prefer ?
أWhat types of jams do you prefer ?
أWhich types of molasses do you prefer ?
What kind of butter do you prefer ?
What oil is used to prepare food:
Which of the following vegetables do you think tastes bad ?
The amount of money you pay for your daily meals

Allergy means any plant that affects you with bad effects after eating it, such as feeling itching, headache or rash, which is similar to eating poisonous plants except that the plant is not poisonous so others eat it naturally.

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