Customized, Individualized
Nutritional Assessment Report
Get your individualized "custom" Nutritional Assessment Report today
and start losing or gaining weight tomorrow! Prepared to YOUR specifications
by a registered dietetic counselor. You will receive a comprehensive
eight* page report listing all these features based on
body weight, age, gender, medical conditions and
activity level in your email.
- Client Information and Goals:
Start Date: Present Weight: Activity Level: Desired
Weight: Goal Date: Weight Desired How much you wish to Lose/Gain/Week:
Peak Body Weight: Your Name: Present Body Fat: Gender:
Desired Body Fat: Age: Body Build: Daily Exercise
Calorie Goals: Medical conditions:
- Your Average Daily Exercise Calorie Expenditure
- Estimated Daily Calorie Requirement Summary:
Basic calorie requirement:
Average exercise calories:
Calories to maintain weight present weight:
Calories to lose ? lbs. per week:
- Protein, Carbohydrate, and Fat Ratio Goals:
Nutrient % of Daily Calories
Protein
Carbohydrates
Total Fat
Saturated Fat
- Nutrient Daily Value
Calories (kcal)
Protein (g)
Calories from Protein
% Calories from Protein
Carbohydrates (g)
Calories from Carbohydrates
% Calories from Carbohydrates
Fat (g)
Calories from Fat
% Calories from Fat
Saturated Fat (g)
Cholesterol (mg)
Total Dietary Fiber (g)
Daily Values based on Reference Daily Intake
Fat-Soluble Vitamins:
Nutrient Daily Value
Vitamin A (IU)
Vitamin A (RE)
Vitamin D (IU)
Vitamin E ATE (mg)
Vitamin K (mcg)
Water-Soluble Vitamins:
Nutrient Daily Value
Thiamin (mg)
Riboflavin (mg)
Niacin (mg)
Vitamin B6 (mg)
Folate (mcg)
Vitamin B12 (mcg)
Vitamin C (mg)
Minerals:
Nutrient Daily Value
Calcium (mg)
Iodine (mcg)
Iron (mg)
Magnesium (mg)
Phosphorus (mg)
Selenium (mcg)
Sodium (mg)
Zinc (mg)
- Assessment Summary, summarizing all of the above in easy to
understand language. plus;
The Role of
Exercise, A Simple Way to Maximize your Benefit from Exercise, Muscle and
Calories, Fat to Lose, How Much Protein do you Need, How Much Carbohydrate
do you Need, How Much Fat do you Need and A Note Regarding Sources of
Calories.
- Your consultant will also recommend the proper meal plan for you based
on the information you give about your weight and health goals and medical
conditions.
Sign up now and you will also receive an Exercise Calorie Expenditures
Report that shows you how many calories you will burn at your present
weight by performing any of 80+ exercises for 30 minutes. If you decide to
purchase a Meal Plan you will also receive one extra week on the meal plan of
your choice.
All this for less than $5.00!!
Sign up for your email assessment NOW !
We are now offering PayPal Payments on our website. You
do not have to have a PayPal account. You may use your credit card or
bank account (where available).
For only $4.98 you can achieve your goals in 2009!!
* eight pages includes the Calorie Expenditures
Report and also depend on the font size of your printer.
