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ONLINE TRAINING QUESTIONNAIRE

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GENERAL HEALTH & NUTRITION QUESTIONS
صحة عامة و اسئلة تتعلق بالنظام الغذائي

Personal Profile Information
معلومات شخصية

Weekly Exercise Information معلومات عن الرياضات الاسبوعية
Explain in detail what type of resistance exercises, cardiovascular or sports activities you perform on average during a 7- Day period.

ما هي انواع الرياضات الشدة او الهوائية التي تمارسها خلال 7 ايام

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Lifestyle / Professional Activity
الحياة اليومية و العمل

Body Type نوعية الجسم

Health & Medical Conditions الصحة و الحالات المرضية

Please list below everything you eat in one 24-hour period. Be sure to include snacks and beverages, including water.  Also, show approximate amounts.(
ادخل وجباتك اليومية لمدة 3 ايام بالتفصيل و اذكر كل ما تاكله مع كمية المياه و العصائر و كل ما تتناولهز حاول ان تقدر الكميات ايضا.
)

Make a list of your favorite foods. ضع لائحة بالاكل المفضل لديك

 Make a list of foods that you dis like. ضع لائحة بالطعام الذي تكرهه


Sellers (Consultant) and Purchasers (Client)

Hold Harmless and Indemnification Agreement

I, (“the Purchasers”) hereby warrants that I will indemnify and hold harmless DKB, known hereafter as (“the Sellers”), and its officers, directors, agents and employees. This indemnification and hold harmless warranty extends to Sellers, individually and separately, and, the corporation’s successors, and subsidiaries, as against all claims, demands, actions, and causes of action, including personal injury, and all other liability whatsoever, including, but not limited to, costs, attorney’s fees and/or judgments which arise out of the use of the Diet and Pro weight management program.

The Purchaser(s) further warrant the program is to be utilized within the QATAR and it will hold harmless and indemnify the Sellers corporation, its agents, directors, officers, employees and individuals named in paragraph one of this Hold Harmless and Indemnification Agreement, against any and all claims for liability and/or damages, arising from any and all violation(s) of Codes, Statutes, Licensing Procedures, Licensure Examinations and/or Registration Requirements, of such state(s), which govern the practice of dietetics and/or weight management and/or nutritional counseling and/or advise, whether known or unknown to the Purchaser(s) at the time of purchase and subsequent use with the public. Such indemnification includes, but is not limited to costs, attorney’s fees, and damages, whether reduced to judgment and judgments which might arise from such claims, law suits, and/or administrative filings.

The indemnification includes all costs and attorney fees incurred by the Sellers in the investigation and defense of any claim enumerated in paragraphs preceding prior to a determination of an exact date of an occurrence and/or incident and/or violation upon which such alleged claims may be based.

It is further understood and agreed by the Purchaser(s), that the consideration for this Indemnification and Hold Harmless Agreement, benefiting the Seller, its agents, directors, officers, employees and the individuals.

Purchaser(s) have agreed to be bound by the terms of the Indemnification and Hold Harmless Agreement and are contractually bound to indemnify the Sellers and its agents, directors, officers, employees and the individuals named in paragraphs preceding, and such obligation includes the responsibility to pay any and all costs and attorney’s fees which may be incurred by the Buyer in defending its agents, directors, officers, employees and individuals named in the paragraphs preceding.