Ragnhildur Kr. Einarsdóttir
GSM: 8 647 647
rakrei@simnet.is
Skref 1 af 2
Personal wellness evaluation
All people are different and require different ways to meet their goals. Most people are thoroughly confused from the flood of different diet solutions, are constantly going down the wrong road, and end up disappointed again and again.. We have compiled some questions to help you understand exactly what it is you need to do to meet your goal weight --- And to keep it off!!!! To do a health report for you is our pleasure and we put our full attention and hard work into each and every report we do. Answer the questions as accurately as you can so you can get the best information on how you can meet your goals of better health, and to fit your lifestyle… Good luck!
Gender
Male
Female
What did you eat yesterday?
Breakfast:
Midmorning:
Lunch:
Afternoon:
Dinner:
Night:
Other:
How often each week do you exercise more than 30 minutes a day
5-7 times a week
3-4 times a week
1-2 times a week
Never
Height, weight, and age
Age:
year
Height:
cm
Weight:
kg
Choose what comes near you own body shape:
The fat gathers at the upper part of my body
The fat gathers at the lower part of my body
The fat gathers at the both upper & lower part of my body
The weight you want to be in:
In what weight do you think you will feel good both physical and spiritual?
kg
How old where you in this weight?
year
What do you want to do?
Loose weight
Loose weight by gaining muscle og loose fat
To get good health with my weight as it is
Get extra energy
To control my appetite
Less need for sweets
Prevent health problem
Build my self up – gain weight
Get extra result in sports
Annað:
Why?
Extra question - Do good economy and good season, economic growth last years have positive effect on:
Health
Free time
Saving
Security
Income
Non of the above
Do you want me to send you login and password to the internet so you can here how nomal people use the internet revolution to build up, good, honest and blooming business from their home?
Yes
No
