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HEALTHAGE

Name:
 
Male   Female
Age:
Weight:
Height:
How often do you eat a good breakfast?
How often do you snack?
How many servings of fruits and vegetables do you eat per day?
How many servings of whole grains do you eat per day?
How many servings of nuts and seeds do you eat per week?
How often do you eat red meat?
How often do you get 20-30 minutes of moderate to vigorous exercise
How is your weight?
How often do you get 7-8 hours of sleep?
What is your history with tobacco?
How many servings of alcohol do you consume per week?
How would you rate your spirituality?
Interests
Name:
Address:
30757:
Email:
Phone:
Receive email with result?