Healthy Homo Check up

Fill in this quick checklist and I'll send back to you an overall lifestyle rating and some tips to help you with any problem areas! 

Lifestyle *
Are you happy with your overall lifestyle?
Morning Glory *
How do you feel when you wake up?
Exercise *
How often do you exercise?
Food *
How are your food habits
Your goal *
What is your main health and fitness goal?
Your age *
What is your age?
Your weight *
What is your weight?
Body shape *
What is your current body shape?
Alcohol *
How often do you drink alcohol?
Meat *
How often do you eat meat? (red and white)
Fruit and vegetables *
How many fruits and vegetables do you eat per day?
Water *
How much water do you drink per day?
Your concerns *
What is your biggest concern right now?
Changes *
What are you willing to change?
Name *
Phone *