Nutrition Questionnaire

*Weight and waist measurements should be measured in the AM before eating/drinking and after using the bathroom. *Measure waist circumference around the navel (belly button). Skip this step for now if you do not have a tape measure.

2. Body weight history. Provide estimates of the following…

3. Health history

Note: If, “no”, download a food tracking app such as MyFitPal to start tracking your daily food intake. Skip question 5a for now but try your best to answer question 5b and 5c.