Miller Health Pty Ltd

HEALTH AND FITNESS ASSESSMENTS

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DIET PROFILE

 

Give yourself a score out of ten, appropriate for your performance on each of  the ten questions below. A good score is a high score. A bad score is a low score.

 

1.

Body composition

How close are you to your ideal weight? Scores based on percent body fat - measurable on Tanita scales.

 

Weight Kg ........  Percent body fat ........

   

M

>36

<36

<34

<32

>30

<28

<26

<24

<22

<20

<18

   

 

 

 

W

>46

<46

<44

<42

>40

<38

<36

<34

<32

<30

<28

   

 

 

 

 

0

1

2

3

4

5

6

7

8

9

10

       

 

                                 

2.

Do you eat a decent breakfast, or is it just flour, sugar and milk?

 

 

 

 

 

0

1

2

3

4

5

6

7

8

9

10

       

 

 

                               

3.

For your weight do you eat a high fat diet?

 

 

 

 

0

1

2

3

4

5

6

7

8

9

10

       

 

 

                               

4.

For your weight do you eat a high flour and sugar diet?          
             

5.

Do you eat from the top of the Hourglass - plenty of fruit and vegetables with adequate protein and fat?

         

 

0

1

2

3

4

5

6

7

8

9

10

       

 

 

                               

6.

Do you get sufficient water (or green tea) into your body every day? Don't count coffee, fruit juice or cool drinks.      

 

0

1

2

3

4

5

6

7

8

9

10

       

 

 

                               

7.

When you look at your health do you think you're getting enough vitamins, minerals, essential fats ...?          

 

0

1

2

3

4

5

6

7

8

9

10

       

 

 

                               

8.

Do you eat too much?

 

 

 

 

 

0

1

2

3

4

5

6

7

8

9

10

       

 

 

                         

 

 

 

9.

Are you ruled by your addictions and cravings for foods which are not good fore you?

 

         

 

0

1

2

3

4

5

6

7

8

9

10

       

 

 

                               

10.

Does the back end of your system work like a charm? Score low if you have an irritable bowel, constipation, diarrhoea, piles ...          

 

0

1

2

3

4

5

6

7

8

9

10

       

 

                                 

 

                     

Score/100

 

 

    

Attained more than 7/10 on all items   Yes  o    No   o

 

Attained more than 70/100                   Yes  o    No o

 

 

YOUR HEALTH AND FITNESS IS ASSESSED AS: -

 

   

Excellent if you scored over 90 o

   

Very good if you scored over 80 o

   

Very good if you scored over 80 o

   

Good if you scored over 70 o

   

Not bad 60 - 70 o

   

Not good 50 - 60 o

   

Poor 40 - 50 o

   

Not good less than 40 o

 

 

Integrated Health Systems

7 Salvado Place, Stirling (Canberra) ACT 2611 Australia

61 2 6288 7703