1. What do you usually have for breakfast?
NAME
DATE OF BIRTH YYYY / MM / DD
AGE
CELL
HEIGHT
QUESTIONAIRE
D Nothing D Cereal D Coffee D Toast
D Other
What do you usually have for breakfast?
Do you feel hungry during the day?
D Never
D Sometimes
D Always
Do you have energy problems?
D YES
D NO
D Sometimes D Always
Is your digestive system regular?
D I am battling
D Headac hes
D Bloating
D Constipation
Do you suffer from any of the following:
D Swollen hands and feet
D YES D NO
D Muscle and Joint pains
Do you know how much water you should be drinking daily?
D I dont know
MEASUREMENTS
WEIGH T
( K G )
BMI
PROTEIN FACTOR
grams p/day
WATER
liters p/day 22
20-24
Ide al He alt hy
25- 30
3 1 +
Overwei ght Obese
(weight / )

2. Healthy Active Lifestyle - Energy, Vitality & Fitness1
Healthy Active Lifestyle - Energy, Vitality & Fitness
Sipho lost 54kg
Dwelani - lost 24kg body fat and gained 8kg muscle mass
Pauline lost 9kg
Victor Gained 8kg
Hester lost 26kg
Happy lost 40kg
Susara - from size 14 to size 8
Elaine - Fitness
Mac Gained 6kg
*Results not typical, individual results may vary
Anzelle lost 39kg
Rene lost 31kg

3. BMI (Body Mass Index) Calculation2
BMI (Body Mass Index) Calculation
Underweight
(less than 19)
Healthy weight
(from 19 to 25)
Overweight
(from 25 to 30)
Obese
(from 30 to 35)
Clinically obese
(from 35 to 40)
Dangerously obese
(above 40)
WEIGHT IN KG
161
159
156
154
152
150
147
145
143
140
138
136
134
132
130
127
125
123
120
118
116
114
111
109
107
105
102
100 98 96 93 91 89 86 84 82 80 77 75 73 71 68 66 64 61 59 57 55 52 50 48 46
147 3 2 1
149
Match the columns, read the BMI Fi
Find the closest weight
nd the closest height
152
155
158
160
163
165
HEIGHT IN CM
168
170
173
175
178
180
183
185
188
191

4. Instant Herbal Beverage3
Daily Water Requirements
Body Fat vs. Muscle Mass
More Nutrition - Less Calories
Protein
17.6g
Sugar
20.9g
Protein
29.8g
Sugar
25g
(Resting Metabolic Rate)
BMR (kcal)
Fat
Fat
26g
6.7g
Formula 1 Shake
Aloe Concentrate
Instant Herbal Beverage
Sat. Fat
3.3g
Sat. Fat
11g
Soda
Sandwich Chips
-± R55 per serving
-± R30 per serving
Sodium
0.28g
Sodium
1.4g
Calories: 220
Calories: 780

5. Female: 1200 – 1400 calories p/day
± 10 g Protein
± 150 Calories
± 10 g Protein
± 150 Calories
±20 G PROTEIN
±20 G PROTEIN
±220 CALORIES
±220 CALORIES
YOU CAN SWAP THESE TWO H E A P E O O N S H E P A S D T A B L E S P E O N D T A B L E S P O
FORMULA 1 SHAKE
1 Serving (3 heaped tblspoons)
1 Serving (3 heaped tblspoons)
INSTANT HERBAL BEVERAGE
1/2 Teaspoon
1/2 Teaspoon
1/2 Teaspoon
1/2 Teaspoon
ALOE CONCENTRATE
1x Serving
1x Serving (optional)
1x Serving (optional)
Formula 1
ENERGY BALANCE
Female: 1200 – 1400 calories p/day
Male:
1800 – 2000 calories p/day
TAKE OUR 3 DAY CHALLENGE R99