How Healthy are you?

survey

When it comes to your health, everything does add up. I would like to offer you the following  calculations:

• Body Mass Index
• Ideal Weight
• Body fat Percentage                        
• Health Risk Assessment
• Fat Need
• Caloric Need
• Protein Need
• Carbohydrate Need

WeI will do the calculations and email the results back to you with your diet program.   

Please provide the following information for the above calculations.

1. Gender Female Male
2. Pregnant/Nursing Y N
3. Age
4. Weight lbs
5. Heightfeet  inches
6. Activity Level Sedetary Moderate Active
7. Waist inches
8. Hips inches
9. How much weight do you want to lose lbs?

Please email this form to me at mail@kombuchapowe.com

last edited: 01/04/10