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Have you ever asked yourself, "How many calories, how much protein and really how much fat should I be eating to meet my goals?" Well it couldn't be any easier than this! Complete all of the information in the form below. Once complete click the Submit button at the bottom of the page. We will process your personal profile information and Email you your FREE Dietary profile. It costs nothing but a few minutes of your time to complete the following form. ONLY COMPLETE FORM WILL BE PROCESSED.
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Client Profile Questionnaire
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Personal Profile Information
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Male*
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Female*
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Weekly Exercise Information
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Explain in detail what type of resistance exercises, cardiovascular or sports activities you perform on average during a 5 or 6-day period. Please also provide the frequency and duration of these activities.
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How would you rate the activity level of your profession, or what you do during the day (non-exercise related).
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Sedentary
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Moderately Active
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Active
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Very Active
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Lose Weight
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Maintain & Improve Easting Habits
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Gain Weight/Muscle
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Which Best Describes You?
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Sedentary Adult
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Exercising Adult
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Competitive Athlete
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Teenage Building Muscle
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Adult Building Muscle
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Athlete Restricting Calories
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Which Best Describes You?
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I can eat anything I want and I have a hard time gaining weight.
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I can lose or gain weight by adjusting my activity level and eating habits.
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I find it difficult to lose weight. I can gain weight easily and have to watch what I eat.
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No. I do not have any medical conditions
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Yes. I am on medication (provide detail below)
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Yes. I have a medical condition(s). I have provided information regarding my condition below.
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Please describe in what you ate yesterday. Include portion sizes (e.g., small, medium, large) any drinks or snacks and vitamins or supplements. Provide as much detail as you like.
If you know your "RMR and BODY FAT percentage"(both Optional), please include them in the Food Diary section.
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Finished! Press the Submit button to forward your profile information to one of our weight management consultants. Incorrect field! Press the Reset button.
*UNCOMPLETE FORM WILL NOT BE PROCESSED.
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Thank You! A consultant will respond via email within 8 hours or less.
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SAETHFIT Temecula, California 92590
888-440-3757
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© 1997-2008 Lifestyles Technologies, Inc. All rights reserved.
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