Lifestyle and nutrition analysis

Answers to the questions will help to determine the state of basic systems and find problems in everyday lifestyle. Answer the questions the way you understand them...

Personal data

The phone number must be real, it can be used to contact you to clarify the missing information

Point without +38

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Questionnaire data

Cm.
Kg.
Cm.
Cm.
Cm.
Cm.
Cm.
Cm.
Hypertension, diabetes, food allergy, gastritis...
Diabetes, obesity, hypertension...
Lose weight, recover...

Lifestyle analysis

Please answer "Yes" or " No " if you experience the specified condition/sensation.


4 or more times a year

Fiber comes from plant foods

How do you eat

L.
L.
Each with a new line
Each with a new line
Each with a new line
Each with a new line
5-10 pieces. Each with a new line
Each with a new line
Each with a new line


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