Complete the quick survey below. Use the BMI calculator to calculate your personal BMI score.

Your name:
Your email:
Your age:
Your height:
Your current weight:
Gender:
BMI (use the calculator on this page):

How many times a week do you eat out?

How much on average do you spend on groceries per month?

What is your biggest motivation to lose weight?

Medical Conditions
Cholesterol?
Yes
No
Not sure
Diabetic?
Yes – Type 1
Yes – Type 2
No
Not sure
High Bloog Pressure
Yes
No
Not sure
Osteoarthritis?
Yes
No
Not sure
Thyroid?
Yes
No
Not sure
Sleep Apnea?
Yes
No
Not sure





Calculate your BMI Score

BMI Calculator
Imperial    Metric
ft in
lbs
Powered by Easy BMI Calculator