Height: (feet) (inches)

Weight (pounds)

Height (cm)

Weight (kg)

Sex (m or f)

Age

Exercise Level (Choose only one)

1. Little to no exercise

2. Light exercise (1-3 days per week)

3. Moderate exercise (3-5 days per week)

4. Heavy exercise (6-7 days per week)

5. Very heavy exercise (twice per day, extra heavy workouts)