3 EASY STEPS
TO HELP YOU GET YOUR PORTEA ACTIV PLAN
What is your occupation?
What is your health goal?
LIFESTYLE and STRESS
What is your activity level?
Active: You are active if you indulge regularly in strenuous work & leisure activities daily at least for 2 hours. Eg: Swimming & dancing.
Moderate: You are moderately active if your work does not require lot of physical effort and you manage to indulge in moderate exercises for at least 1 hour on daily basis. E.g.: aerobics, jogging, cycling.
Sedentary: You are sedentary if your work doesn't require any kind of physical effort and you hardly indulge in any sports and exercises regularly. Most of your leisure time goes in watching TV, on laptop sitting or standing with little body movements.
How many hours do you sleep?
5 hours or less
7 - 8 hours
9 hours or more
What type of exercise(s) do you prefer?
Cardio + Strength
Emotional Well Being in last week
Up and Down
What meal type do you prefer?
What cuisine type do you prefer?
How often do you have home cooked food?
Do you skip any meal? If yes, which one?
I do not skip meals
Do you have snacks/fruits in between meals?
If yes what do you have:
What is your daily water Intake?
10 - 15 glasses
6 to 9 glasses
Less than 3
Smoke less than a pack per day
Smoke more than a pack per day
Once a month
2 - 3 times a week
Do you drink more than 3 cups of caffeine (tea or coffee) drinks a day?
If yes how many:
Do you have any food allergies/intolerance?
If yes please specify:
Have you been diagnosed with any of these medical conditions?
Type 2 Diabetes
Nutritional Deficiency ( Iron, Vitamin B12, Calcium, Vitamin D)
None of the above
Is anyone in your family diagnosed with any of these medical conditions?
Type 2 Diabetes
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Your fitness score is
on a scale of 10