Is Your Lifestyle Healthy? | Just for Hearts

Dear All

Welcome to the Weight Watchers group of AACL. We at Just for Hearts healthcare company is going to conduct this exciting and motivating Weight loss Program for all the participants. So lets complete the first step of filling out the Lifestyle Survey form and gets started with the progress towards a “Healthy You”.

Is your Lifestyle Healthy ?

If you are human, leave this field blank.

Name *

Employee id *

Location *

Current Weight (Kg) *

Height (in centimetres) *

Do you have breakfast Everyday

Do you have meals on regular time?

Do you consume more than 2 liters (more than 10-12 glasses of water daily?

Do you frequently eat out?

Do you smoke ?

Do you consume alcohol ?

Do you consume more than 2 cups of tea/coffee every day? *

Do you exercise for at least 4 days or 150 min/ week? *

Do any of your family members have Diabetes/ High blood pressure/Obesity/Heart Disease?

Are you satisfied with your health?

Do you have enough energy to do your every day activity?

Do you have a sound sleep?

Do you think you have a stress freelife?

Are you satisfied with your health?