A 5 minute assessment of your overall health
Height (in inches)
Weight (in pounds)
About how many hours per night do you sleep?
Glasses of water per day?
Do you smoke tobacco products?
If so, how many packs per week?
How have you been feeling over the past week?
Hours of exercise per week?
Alcoholic drinks per week?
Servings of meat per week?
Servings of refined sugars/oils per week?
Resting heartrate (in BPM)?
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