ELITE FIT FOREVER METABOLIC EVALUATOR

Take the test today and unlock your physiology to discover your metabolic type.

Are you a Lion or a Cheetah?

Are you a Lion or a Cheetah? Determining your metabolic profile will allow us to
streamline your menus, supplements and activity levels to
completely balance your metabolism.

About You

Are you Male or Female?

What is your age group?

Your weight in pounds:

Your height:

How would you describe your lifestyle?

When you gain weight, your
tendency is to gain it:

Do you go on strict, low calorie diets?(Low calorie =1200 calories or less)

Is your waist circumference greater than 40 inches

 Yes  No

What levels of stress do you experience, on average, per day?

Are you of Hispanic, African American, or Pacific Islander heritage?

 Yes  No

Are you of Asian or Caucasian heritage?

 Yes  No

Do you live in a place with which of the following dominant climates?

About Your Health

Have you been diagnosed with Type II Diabetes?

 Yes  No

Do you have a sibling or a parent with Type II Diabetes?

 Yes  No

Do you ever get dizzy or lightheaded if you skip or are late for a meal?

 Yes  No

Do you suffer from two or more of the following: excessive thirst, frequent urination, poor wound healing or fatigue?

 Yes  No

Are you a woman who has had diabetes while you were pregnant or have had a baby that weighed more than 9 lbs. at birth?

 Yes  No

Have you been told that you have high blood pressure?

 Yes  No

Do you have high overall cholesterol levels? (above 200mg/dl)

Do you have a family history of high cholesterol levels?

 Yes  No

Have you ever had a heart attack or cardio vascular illness?

 Yes  No

Have you or any immediate family member ever had a stroke?

 Yes  No

Have any one of your immediate family members ever suffered from a heart attack or any cardiovascular illness prior to age 55?

 Yes  No

Do you or any one of your parents or grandparents suffer from high blood pressure?

 Yes  No

Have you ever been diagnosed with low bone density?

 Yes  No

About Your Exercise

Do you practice any type of exercise using weights or resistance?
 Yes  No
How many times per weeks

Do you accumulate at least 30 minutes of aerobic activities like walking?
 Yes  No
If yes, how many times per week?

Do you avoid activities such as climbing stairs?

 Yes  No

Do you feel any shortness of breath during any type of physical activity

 Yes  No

Do you use the stairs whenever possible?

 Yes  No

Do you exercise less than three times a week?

 Yes  No

How many minutes per week do you exercise? (walking, swimming, etc)

About Your Menu

how many servings of protein do you eat per day? (1 servings = at least 3 to 4oz)

Do you eat sugar or foods that contain refined sugar?

 Yes  No

Do you become overly tired or sleepy after a meal?

 Yes  No

Do you eat a diet high in bad fat? (i.e. fried foods at least once a day, etc.)

 Yes  No

Do you eat a diet rich in fruits and vegetables? (i.e. do you eat foods such as oranges, orange juice, apples, broccoli)

 Yes  No

Do you eat foods with high amounts of salt? (sodium)

 Yes  No

Do you eat more than two servings of dairy products per day? (i.e. whole milk, etc.)

 Yes  No

How many alcoholic beverages do you consume per week?

Do you have at least 2 servings of protein on most days?

 Yes  No

How many glasses of water do you drink per day?

Do you take calcium in supplement form?

 Yes  No

You're almost there!

To get your results, please provide us with a little more information
(We keep all your information safe!).

 
 

Congratulations!

You are on your way to optimal health!
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