inova center for wellness and metabolic health weight and health questionnaire name date background information age birth date preferred phone number email marital status gender male female occupation work hours ...
Filetype PDF | Posted on 15 Jan 2023 | 4 years ago
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...Inova center for wellness and metabolic health weight questionnaire name date background information age birth preferred phone number email marital status gender male female occupation work hours highest level of education primary language circle english spanish other please list smoking never former current general any problems physical limitations allergies intolerances all medications vitamins herbals dosage how many sleep do you average per night is your restful yes no rate the stress in life being cope with cultural or religious practices related to diet readiness make lifestyle changes most ready confidence confident height what was lowest adult lb describe gain loss past years have dieted if indicate done makes it hard lose keep off has helped much would like will benefit from this activity physically active thing a day regular exercises days week minutes at intensity light moderate high time s can fit exercise into schedule exercising nutrition chart below fill typical food mea...