Metabolic Classifying Questionnaire

Metabolic Classifying Questionnaire
Name

First NameLast Name
Date

DayMonthYear
Date
1. Whether you wish to gain or lose weight, your body weight history provides important insights regarding the state of your metabolism. Are you happy with your current body weight? If not, how long have you struggled with your weight?

Perfectly happyIt's relevant but a minor concernIt is a concern, I am cautious about my weight.It's a concern I've had in recent yearsHad problems as long as can remember.
2. Yes, it's true, age does influence metabolism & as we age our metabolism changes. How old are you?

teen to 24 years of age25-34 years of age35-44 years of age45-54 years of age55 years of age or over
3. From research, it's clear that some population groups have a higher genetic predisposition for metabolic abnormalities that increase the risk of type-2 diabetes and unwanted weight gain. As far as you're aware, at least one side of your family originates from one of the following.

OtherIndigenous Australian or AmericanMediterranean.African AmericanPolynesian decent including the Pacific Islands, Hawaii, Fiji, Samoa, New Zealand.
4. How many diets have you been on?

I've never followed a dietI've tried a fewI've tried more than a fewI'm always searching for best oneI count calories, I can even tell you how many calories are in a meal
5. Breakfast is a powerful trigger that can shift your metabolism into fat-burning mode or fat- storing mode. Which of theses typically resembles your breakfast?

Omelette or stir fry with vegetablesProtein shake, cereal and some fruitCoffee/tea, cereal, toast & glass of juiceCoffee/tea & an egg McMuffinI often don't eat breakfast
6. Right now, how many metabolically precise meals would you consume each day?

more than fivefour-fivethree-fourone-twoNone or not sure know what this means.
7. A high ratio of omega-3 is essential for down-regulating inflammation that optimizes health, fat metabolism and results from exercise. How much omega-3 do you get each day?

I know how to get at least 60grams a day from foods that directly improve the 0-3 ratio.I take flax oil, eat fish & lots of green vegetables every dayI eat fish and take fish oil capsulesI take fish oil capsules each dayI have no idea
8. With every passing decade, adults lose the capacity to preserve lean body tissue. This underlines a host of unrelated illnesses including type-2 diabetes, heart disease and unwanted fat gain. Resistance exercise is imperative to maintain lean tissue in adults. How long have resistance activities been a part of your life?

Never, or less than 6 monthsMore than 6 months - I've completed some form of resistance exercise at least twice a week.Plus, my workouts are planned, they incorporate barbells & dumbbells with sets & reps.My workouts are planned & structured; incorporate barbells & dumbbells, sets & reps and I strive to increase the weight used.The structured resistance exercise program described above has been a main part of my program for more than 12 months.
9. How often do you perform aerobic type physical activity, this also includes sports training, fitness classes, boxing and circuit-based activities.

3 or less times a week along side the structured resistance exercise program in Q8.A few times a week - no resistance exercise4 or more times a week but no structured resistance exercise programNone, or I'm inconsistent with exercise
10. How much body fat you have and how long you've carried that amount has a prominent effect on endocrine function and metabolism. Rate your body "fatness"

I'm super lean, ripped abs, lower back and intercostals visibleYou can see my abs, I have muscle definitionI'm soft, got a little bit of belly, in flabby bitsI'm chubbyIt's clear that I'm overweight
11. Where you store your body fat has important metabolic repercussions. Some people store their fat around their middle (apples), some store fat more on their hips ( pear shape), where do you mostly store your body fat?

mostly on my belly, virtually none on my hips & legson my belly and on my hips & legsSome on my belly but mostly on my hips & legs
12. Sleep quality has a profound effect on appetite regulation and carbohydrate metabolism. Rate your sleep quality.

I fall asleep quickly & wake refreshed every morningI rarely have a problem sleepingI work shiftsI have trouble falling & staying a sleep.I wake up feeling tired & lack energy
13. Metabolic blockers are poor sleep habits; drugs/ medications; smoking, alcohol abuse & chronic stress. How many of these are in your life?

Alcohol - more than 1 drink a dayChronic stress and or poor sleep habitsDrugs including medication & antidepressantsSmoking
14. When you stand in front of the mirror, do you like what you see? Do you have the body you really want? Be honest ;-)

Yes, perfectly happy!I'm almost there!l've got some improvements to make.I've got a lot of improvement in me.I won't stand in front of the mirror naked.
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