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20th August 2008

Welcome to your Weight management Journey

HOT PRODUCT

PORTION PLATE

$ 29.99
The Popular Portion Control Plate. Allows you to keep track of the amount of food you eat, and what foods are best to choose.

Sign Up to Weight Online

Step 1

Payment plan and your health profile

* Note : The membership duration is of one year.


Select a Payment Plan	Monthly Fee	Duration	Subtotal	Savings	Total

Standard Monthly Plan	$ 16.95	1 month	$ 16.95	$ 0.00	$ 16.95
3 Month Saving Plan	$ 16.95	3 months	$ 50.85	$ 4.90	$ 45.95

(Your personal information is protected by Secure Socket Layer (SSL) encryption and by our Privacy Policy)

Your Height	:	m	(example: 1.58 m)

Your Weight	:	kg	(example: 85.7 kg)

Gender	:

Your Date of Birth	:		(example: dd/mm/yyyy)

Health Profile

Do you suffer from any of the following conditions?

Please note by ticking these boxes, any health plans developed may not necessarily take into account the condition indicated.

Heart disease

High blood pressure

High cholesterol

Diabetes Non Insulin

Diabetes Insulin Dependent

Other medical condition, please specify

Do you have a recognised eating disorder, e.g. anorexia or bulimia nervosa?	:	Yes	No

The following questions are for women only :

Are you pregnant?	:	Yes	No

Are you breastfeeding?	:	Yes	No

Lifestyle

How active are you? Determined by your occupation, rather than the exercise you do. Please choose the option that suits you best :

Sedentary - I sit at all times, I do not move much.

Mild- I work in an office or drive, requires more sitting than moving about.

Moderate - I hardly sit down, standing mostly and moving around (e.g. Sales person, Nurse).

Active – I am required to do heavy lifting or moving (e.g. Tradesperson).

How many days do you plan to exercise in a week?	:	(eg.5days a week, enter 5)