Gizi Seimbang Konsultasi · Surabaya
Register for an online dietitian consultation
Fill in the form below to request a consultation. A registered dietitian reviews your details and contacts you to arrange a time. Nothing is charged at this stage.
What we ask for
What the form asks for
Your name, contact details, and a short description of what you want help with. That is the core of it. Everything else you add is read before we call.
The more context you give, the more prepared the dietitian will be before the call. You do not need tidy answers. A sentence or two about a normal day is more useful than a perfect description.
Handling and privacy
How your details are used
Reviewing your request
We use what you submit to review your request, schedule a session, and prepare for the conversation. The dietitian reads it before making contact, so the first call starts from your situation rather than from a blank page.
What we do not do
We do not sell your information or pass it to unrelated third parties. Your form is read by the team that arranges your consultation, and it stays with that team.
Changing or removing it
Our privacy policy explains what is collected, why, and how to ask us to change or delete it. If you want your details removed after a session, write to us and say so.
Send your request
The registration form
Six fields, one optional note. Nothing is charged at this stage and no card details are involved anywhere on this page.
All fields below are required unless marked optional.
What happens after you submit
A dietitian reads your form, usually before making contact. If your question suits an online consultation, we reach out to agree on a time. If it does not, we will explain why and point you in a more useful direction. Either way, you hear back from a person, not an automated sequence.
- Step one
- Your form is read by a dietitian, not a queue.
- Step two
- A short reply confirms whether a consultation is the right fit.
- Step three
- If it is, we agree on a time for the online session.
- If a fee applies
- Explaination happens before anything is confirmed.
Preparation
Before your first session
Preparation here is short. Keep a rough record of what you eat for two or three days, including snacks and drinks. Note any questions you want to cover. If you buy packaged food often, have one product nearby so you can look at the label together. That is enough. You do not need to change anything beforehand.
Setting the table for a first conversation — a covered plate, water, and something you actually eat.
Food record
Two or three normal days, not a special week. Note meals, snacks and drinks, and roughly when you ate them.
Your questions
Write down what you actually want answered. Three or four lines is plenty and stops you forgetting on the call.
One packaged product
If you buy packaged food often, keep one item nearby. Reading a label together is easier than describing it.
A quiet twenty minutes
An online consultation works best from somewhere you can talk without interruption.
If a condition or diet plan came from a doctor, keep following it and mention it in the form. A consultation here sits alongside that advice.
What we do not collect here
No card details, no bank information, no payment of any kind. Registration is a request for a consultation, not a purchase. If a fee applies to a session, that gets explained before anything is confirmed, so you can decide with the numbers in front of you.
You can also take part in one consultation and stop there. There is no package to commit to, and nothing on this page signs you up for a recurring plan.
Not ready yet
If you would rather ask first
Not ready to register? Use our contact page to send a question. Describe your situation and we will tell you whether a consultation is the right fit, and what it would involve.
Contact the team- Visit
- Jl. Basuki Rahmat No. 12, Surabaya, Jawa Timur, 60271, Indonesia
- Phone
- +62 31 531 9876
- [email protected]
- Hours
- Monday to Friday, 09:00–18:00. Requests sent at the weekend are read on the next working day.
The clinic sits on Jl. Basuki Rahmat in central Surabaya. Online consultations run by video call, so you can join from anywhere in Indonesia.
Common questions
Before you send the form
Is there a fee for the consultation?
Nothing is charged when you register. If a fee applies to a session, it is explained before anything is confirmed, and you decide after that.
How long does the call take?
The length depends on what you bring. We agree on a time in the reply, and you will know beforehand roughly how long to set aside.
Can I register for someone else?
Yes. Put the person's details in the form and say in the notes who you are. A parent registering a child, or an adult registering a parent, is common.
Do I need to try a specific diet before I write in?
No. Turn up with what you already eat. Changing your pola makan before the first call makes the picture less accurate, not more useful.
What if my question is not a good fit?
We say so in the reply and suggest where else to look — often a doctor, a midwife, or a service that fits the question better. You still hear back from a person.
Want more background before registering? Read the Everyday Nutrition Guide or see the full list of Consultation Topics.