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Personal Information
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Birth Date:
   
Gender:
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Time of day: Hour: Minute:
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Physical and Metabolic Information
Height:
 feet inches
Weight:
 lbs.
Waist:  Inches

BMR Type: English Metric

Lean Body Mass:  lbs
Body Fat Mass:
  lbs
Body Fat:
  %
BMR:
Daily Activity
Very Light: No formal physical activity outside of work; work is primarily sedentary (standing, typing, cooking, driving).
Light: Participate in light continuous, nonstop aerobic-type physical activity (running, walking, jogging, swimming, cycling, climbing, golfing) at least 2-3 days weekly for at least 30-45 minutes per session with an elevated heart rate heart
Moderate: Participate in moderate, continuous, nonstop aerobic-type physical activity (running, walking, jogging, swimming, cycling, climbing, circuit weight training, intramural/recreational sports league) at least 3-4 days weekly for at least 45-60 minutes per session with an elevated heart rate.
Heavy: Participate in varsity/professional sports program (football, baseball, basketball, soccer, etc) that encompasses aerobic/anaerobic-type physical activity (running, sprinting, jumping, plyometric, agility, high-intensity weight training) at least 4-6 days weekly for at least 60-120 minutes per session with an elevated heart rate.
Very Heavy: Participate in world class training events (ultra-distance running, triathlons, Ironman competitions, etc) that consists of very heavy, continuous, nonstop aerobic-type physical activity (running, swimming, cycling) at least 5-7 days weekly for at least 60-120 minutes per session and a 35-50+ mile per week average.
General Health Questions
Heart Disease
Liver Disease
Pancreatic Disease
Anemia
Kidney Disease
Lactation
Hypoglycemia
Diabetes
Hypertension
Health Goals
Weight Gain: Designed to increase lean body mass (muscle mass) with minimalincrease in body fat while developing good eating habits.
Weight Maintenance: Designed to maintain current body composition and develop good eating habits.
Weight Loss: Designed to decrease body fat with minimal loss of lean body tissue while developing good eating habits.

Goal Body Weight:
  %
Goal Body Fat:
  %
Caloric Needs
Based on your personal metabolic information, daily activity level and performance goals the following is your estimated caloric/nutritional need.

Calorie Maintenance:: calories
Calorie Restriction/Increases:
calories/day
Adjusted Caloric Daily Needs:
 calories
 
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