Lifestyle and nutrition analysis

User agreement

Хранение, обработка и использование предоставленных пользователями персональных данных на сайте проводится в рамках действующего законодательства Украины, а именно Закона Украины "О защите персональных данных".

Персональные данные пользователей сохраняются и используются в дальнейшем исключительно для предоставления услуг, представленных на сайте «Персональный диетолог» (dietolog.pl.ua). Сайт оставляет за собой право на использование данной информации в маркетинговых целях.

Регистрируясь и отвечая на вопросы, Вы соглашаетесь с настоящими условиями.

Your name: *
Your surname: *
Phone number: * The phone number must be real, it can be used to contact you to clarify the missing information	Point without +38
Email: * Be careful when filling out the email, after filling out the form, this mailbox will need to be confirmed

Growth: *	Cm.
Weight: *	Kg.
Age: *
Sex: *	Male Female
Waist circumference:	Cm.
Chest volume:	Cm.
Hips volume:	Cm.
The biceps of the arms:	Cm.
Hand brush volume:	Cm.
Leg volume:	Cm.
Occupation, type of activity: *
Chronic disease Hypertension, diabetes, food allergy, gastritis...
Chronic diseases of relatives: Diabetes, obesity, hypertension...
Degree of physical activity:
What result do you want to achieve: * Lose weight, recover...

Lack of energy, loss of strength: *	Yes No
Frequent disease: *	Yes No 4 or more times a year
Unpleasant body and mouth odor: *	Yes No
Digestive difficulties: *	Yes No
Frequent consumption of meat with blood: *	Yes No
Painful, irregular periods: *	Yes No
Frequent use of antibiotics: *	Yes No
Frequent alcohol consumption: *	Yes No
Frequent mood swings: *	Yes No
Food allergy: *	Yes No
Puffiness under the eyes: *	Yes No
Smoking: *	Yes No
Distraction, bad memory: *	Yes No
Reduced immunity: *	Yes No
Heartburn and gas formation after eating: *	Yes No
Frequent stress: *	Yes No
Skin problems or a poor complexion: *	Yes No
Excessive consumption of carbohydrates, craving for sweets: *	Yes No
Excessive consumption of dairy products: *	Yes No
Bad mood, depression, apathy, depression: *	Yes No
Insomnia/restless, insufficient sleep and rest: *	Yes No
Problems related to menopause: *	Yes No
Frequent urination: *	Yes No
Hair loss: *	Yes No
Swelling and joint pain: *	Yes No
The difficulties of maintaining a normal weight: *	Yes No
Rapid fatigue: *	Yes No
Poor diet, poor nutrition: *	Yes No
Slow recovery: *	Yes No
Irregular bowel: *	Yes No
Lack of appetite (poor appetite): *	Yes No
Low sexual activity: *	Yes No
Thinned and brittle nails: *	Yes No
Dry, damaged dull hair: *	Yes No
Eating fatty foods: *	Yes No
The feeling of fear, anxiety: *	Yes No
Lack of fiber in the diet: *	Yes No Fiber comes from plant foods
Muscle cramps/spasms: *	Yes No
Adverse ecology: *	Yes No
Excessive consumption of tea and coffee: *	Yes No
Increased irritability: *	Yes No
Hypersensitivity to chemicals, food additives: *	Yes No
Yeast, fungal infections: *	Yes No
Muscle weakness, bone fragility: *	Yes No
Constant anxiety: *	Yes No
Excessive excitability: *	Yes No
Sedentary lifestyle: *	Yes No
Increased sputum production: *	Yes No

Number of main meals per day: *
Number of snacks per day: *
The amount of liquid you consume per day : *	L.
Of them clean water: *	L.
List of dishes/products that you usually eat for breakfast : Each with a new line
List of dishes/products that you usually eat for lunch : Each with a new line
List of dishes/products you usually eat for dinner : Each with a new line
The list of dishes/products that you usually eat for a snack : Each with a new line
List of the most favorite dishes/products : 5-10 pieces. Each with a new line
List of unloved dishes/products: Each with a new line
List of products/dishes to which you have contraindications : Each with a new line

Lifestyle and nutrition analysis

Personal data

Questionnaire data

Lifestyle analysis

How do you eat