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1-800-743-SLIM (7546) 

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COMPLETE THE FORM BELOW TO RECEIVE A Free Analysis!

if you are seriously trying to lose weight, we recommend our 7-days-a-week., 3-meals-a-day low-fat diet plan. This diet food plan, which comes in two calorie levels (1200 and 1600 calories per day), contains all the food you will need to consume for one entire week.

We also offer partial diet food plans, as well as a low-carb and vegetarian plan. If you have special dietary needs, losing weight for a special occasion, or not quite sure how Diet-to-Go food programs will work for you, please complete the form below and one of our Customers Service Representatives will contact you by phone or email to help you decide what is best for you and your dieting goals.

Your Last Name:
Your First Name:
Your Middle Name:
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Main Phone:
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(Please provide a phone number where we can contact you in case we have  a question about your request.)
 

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What is your nutritional objective?
(Check all that Apply.)

Lose Weight
Look / Feel Better
Save Time / Money
Health Reasons
Other

What is your current weight?

What is your desired weight?

What is your height?

What diet food program(s) have you used in the past?
Jenny Craig
Weight Watchers
Nutri-System
eDiets
None
Other


How many times do you exercise per week?
0-2 2-3 3-4 4-5 5-6 7-8 8+

What is your age?
18-24 25-35 36-45 46-55 56-65 66-75 75

Any food allergies or dislikes?

Any health considerations we should be aware of?

 How did you hear about us?

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Disclaimer:
Diet-to-Go is a diet food meal service that provides diet food programs that can help achieve specific nutritional goals. Diet-to-Go is not intended to provide medical advice. Individuals under medical care for any medical condition should only receive their daily caloric needs, nutrient recommendations and program supervision directly from or approved by their doctor or dietitian. Diet-to-Go encourages you to consult with your doctor or dietician about our diet food programs.