Seneca PT- Nutritional Analysis Tool

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15201 Shady Grove Rd. Suite #106
Rockville, MD 20850
Tel: 301-948-4395
Fax: 301-840-8972

Our Staff:

	Bill Rolle PT, DPT, CSCS
	Linda Kuserk PT
	Jonelle Detlor MPT
	Robert Woodside PT, DPT, CSCS
	Matt Adams PT, MS
	Barbie Davilla PTA
	Eden Smith BS, ACSM, CSCS

Seneca Wellness & Fitness Center
Nutrition Analysis Tool

First, we need to get some information from you in
order to assess your nutritional needs...

First Name:

Age:

Gender:

My Goal is to:

Height:

Feet Inches

Weight:

Pounds

Activity Level:

We need to get an idea of what kinds of activities you engage in when you are awake.

Enter the number of minutes spent each day (or today) engaged in the following activity levels:

Very Light	Light	Moderate	Heavy	Very Heavy
Examples: Reading Driving Eating	Examples: Walking Sweeping Playing Piano Bicycling (easy)	Examples: Fast walking Dancing Light Jogging Skating	Examples: Swimming Running Bicycle (fast pace) Basketball	Examples: Boxing Rowing Heavy weightlifting Mountain climbing

On the following page, you will be asked to enter your food intake for an entire day. There are over 1000 food items to choose from, arranged into 10 categories in the drop-down menus.

If a particular food item is not listed, try to find the item that most closely resembles it. If you dine at a restaurant, they can provide the information necessary to enter portion size.

(This may take
15-20 seconds
to load)

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The information contained in this web site is not a substitute for medical advice or treatment,
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