1) Do you have fat around your abdomen?
(Women Greater than or equal to 35", men greater than or equal to 40") Yes
No |
| 2) Are you overweight? Yes
No |
| 3) Do you have high blood pressure? Yes
No |
4) Do have high cholesterol?
Yes
No |
5) Do you have high triglycerides?
Yes
No |
6) Do you NOT exercise at least 120 minutes a week?
Yes
No |
7) Do you eat sugary foods more than once a week?
Yes
No |
8) Do you have Diabetes in your family?
Yes
No |
9) Are you having trouble losing weight?
Yes
No |
10) Do you have a high BMI?
Yes
No |
11) Do you have a unhealthy hip to waist ratio**
(women waist to hip ratio of 0.8 or less) (men waist to hip ration of 0.95 or less)
Yes
No |
12) Do you have elevated blood sugar levels (greater than 110)?
Yes
No |
| Your Email Address:
*
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| Your Name:
*
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