QUESTIONS.



NAME:
SURNAME:
ADRESS:
STREET: CP:
TOWN:
Country:
MAIL:
SEX: Woman Man
CUT:
AGE;
Weight:
Waist measurement Hip measurement:
Profession:
Ridges you of the sport? yes not
If So which?

Of diabéte? yes
not
So yes of which type?
Of cholesterol? yes not
not Which rate?

Comments:

Use greasy substances: yes not
Which?

Eat meat? yes not seldom
In which quantity?

Fish? yes not seldom
In which quantity?


Eggs? yes not seldom


Eat green vegetables? yes not Once per day
Quantity?

Fresh fruits? yes not Each day


Of the products laitiers?Lesquels?

Drink wine or another alcohol?
yes not seldom

In which quantity?

FOR MORE PRECISE ANSWER, THANK YOU TO PASS BY THE INSCRIPTION PAGE.

Bonds:
Banner page.
Relieving.
Constipation.