Getting Started Towards Your Healthy Lifestyle Making the commitment to follow an exercise and diet log is the first step towards healthy living and My Fit Club makes it easy. To help you get started, the following will ask you some basic information that will help gauge where you are and how you should proceed towards your new healthy lifestyle.  Basic Measurements I will be entering my measurements in pounds/inches    kilograms/cms Please enter some basic information about you in the spaces provided at the right. This information is required to calculate your various profile indices. Enter Basic Information: Age  18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 Height  (feet)    (inches) Weight  ( pounds) Gender  Male Female What is your target weight?     (pounds) If you are interested in losing or gaining weight, your goal is to lose/gain:  pound(s) per week            By  There are many ways to measure body composition - the approximation of the percentage of fat versus lean muscle mass, bone, blood, etc. We use a circumference based method. Measurements: Measure the circumference at your waist, neck, and hips (for women) or at the level of the navel (for men). Enter these measurements on the right. Enter Measurements For 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60  Waist (inches) 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60  Navel (M) /Hips (F) 10 10.5 11 11.5 12 12.5 13 13.5 14 14.5 15 15.5 16 16.5 17 17.5 18 18.5 19 19.5 20 20.5 21 21.5 22 22.5 23 23.5 24 24.5 25 25.5  Neck  Daily Activity Level What is your average daily activity level and lifestyle?   Sedentary - (inactive)   Lightly Active - (most professionals, office workers, shop workers, teachers, homemakers)   Moderately Active - (workers in light industry, most farm workers, active students, department store workers, soldiers not in active service, commercial fishing workers)   Very Active - (full-time athletes and dancers, unskilled laborers, forestry workers, military recruits in training, soldiers in active service, mine workers, steel workers)   Exceptionally Active - (lumberjacks, blacksmiths, female construction workers)  Exercise Goals Achieving your body composition goals requires both proper diet and exercise. On average, how much time per week do you plan on exercising and being active?   Light Moderate Vigorous activity for 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 (Hrs)  0 5 10 15 20 25 30 35 40 45 50 55 (Min)  Eating Habits How many times a day do you eat (including meals and snacks)? 1-3   3-5   5-7 Which meal is your largest of the day? Breakfast      Lunch      Dinner How many days a week do you skip breakfast?  0  1  2  3  4  5  6  7 Do you go too long without eating, causing you to feel "starved" at mealtime? Yes      No Do you binge during meals? Yes      No How many times a week do you eat out? Do you eat fewer than five servings of fruits/vegetables per day? Yes      No Do you take supplements/vitamins?  Yes      No Have you tried diet programs or are you currently on one (Weight Watchers, Slim Fast, The Zone, etc.)? Yes      No Do you need help decreasing the amount of fat and sugar in your diet? Yes      No Are you allergic to any foods or do any cause you discomfort (cramps, nausea, etc.)? Yes      No How much water do you drink a day (8-oz. glasses)? 1-3 4-6 7-9 10+ How many times a week do you consume alcohol? 0-3      3-5      5-7  Get Your Results I am at least 18 years old and have read the Terms & Conditions. Please enter your name and email to get your fitness analysis results...   First Name: Last Name: Email: * Recommended: For complete analysis to be sent to your email, please take a minute to WHITELIST our email before you submit. Read how to whitelist us in your email program... * NOTE: Please provide a valid Email Address that is preferably your personal email and not through a free provider such as Yahoo, Hotmail, etc. Your profile confirmation will be sent to your mailbox. If you do not receive an email within 1 hour, please verify your Bulk or Spam Folder for incorrect delivery or try another email address in case your email provider incorrectly pre-filtered our email. * We will never sell or abuse any entered email address. This Fitness Analysis is for general educational purposes only. Good luck with your fitness!