Leaf it Up

Start taking care of your health today!
Your Email

Create Password

Confirm Password
Your Personal Information
First Name

Last Name

Date of birth

Gender Male Female

Zip

Are you a Health Care Provider? No Yes

Coached By:

Bio Age Calculation!

In a typical day, which of the following meals or snacks include a serving of the following food? (Check all tha aplly)

	Breakfast	Lunch	Snack	Dinner
Fruits
Vegetables
Whole Grain
Protein

In a typical week, about how much time do you spend practicing the following exercises?

	Hours	Minutes
Cardio (Walking, Running or Biking)
Strengthening (Weight lifting, Pilates, Resistance)
Stretching or Yoga
Sitting Meditation and Breathing exercise

In a typical week, how often do you spend time...

	Every day	3-5 times a week	Twice a week	Less than twice a week	Never
Practicing relaxation techniques such as meditation, praying, tai chi and qingog (counting only periods longer than 5 min)
Outdoor (counting only periods longer than 15 minutes)
Interacting with friends and family (counting only periods longer than 15 min, including telephone calls, but not Facebook interactions)

What are your main Health Goals?
Current Goals

Click and drag your top 3 goals. Rank them in order of importance
* Please, select at least one goal.

* At least one goal must be Selected.
Goals

Click and drag your top 3 goals. Rank them in order of importance
- Live longer and better+
- Achieve and Maintain mood stability+
- Enhance positive thinking+
- Enhance exercise performance+
- Achieve Optimal Sleep+
- Achieve and Maintain vitality+
- Increase energy and stamina+
- Die healthy+
- Become and stay Cancer-Free+
- Control Blood Pressure / Prevent and reverse Heart Disease+
- Control Blood Sugar / Prevent and reverse Diabetes+
- Drop Cholesterol+
- Achieve and keep Ideal Weight+
- Enjoy general Wellbeing+
- Control Stress Level+