Metabolic Survey

1. If you don't closely watch what you eat and exercise, you:

 
 
 
 

2. How happy are you with your weight, in terms of not having extra gain?

 
 
 
 

3. How much does your family medical history show high blood pressure?

 
 
 
 

4. Where does your blood pressure tend to lie when it's been tested?

 
 
 
 

5. Where do you tend to gain extra weight?

 
 
 
 

6. How much does your family medical history show extra weight gain, particularly around the waist?

 
 
 
 

7. How is blood sugar control in your body (to your knowledge)?

 
 
 
 

8. How much does your family medical history show insulin resistance and/or diabetes?

 
 
 
 

9. My stress level is _____________ :

 
 
 
 

10. The relationship between food and comfort for me:

 
 
 
 

11. How much do you deal with problems sleeping?

 
 
 
 

12. How much do you engage in yo-yo dieting?

 
 
 
 

13. How much does your diet contain sugar and refined/processed foods?

 
 
 
 

14. How satisfied are you with your overall health?