Weight Management Profile
(Please print out and
include in an e-mail)
Name: _________________________________________________
Address: ________________________________________________
E-mail: __________________________________________________
Age: _____ Weight: _____ General Health: ____________________
Food likes and dislikes: ______________________________________
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Lifestyle: (detail typical day) __________________________________
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Present weekly menu: ________________________________________
__________________________________________________________
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__________________________________________________________
___________________________________________________________
___________________________________________________________
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Your weight management goals: ________________________________
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Previous diet programs: _______________________________________
___________________________________________________________
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Fill out the information and copy and paste this profile which you can e-mail by clicking on this icon. Try to do this today, for a healthier approach to weight management. |