Acordul.Ro

Nutritional Profile

Wellness refers to a state of balance in all areas of life: physical, mental, spiritual, financial-professional.

In order to be able to offer the best solutions customized to your needs, you will benefit from an evaluation of your wellness profile.

Here are the steps:

Step 1: Complete this questionnaire

Step 2: Contact Corina Dana Ratiu for interpretation of data and personalized recommendations.

A confirmation e-mail may be sent to the e-mail address you provide. It will also contain the interpretation of the current situation, of the daily habits .

Personal Data

Some contact information and other data about you. After you submit the form, you may request a copy of given consents on the email address you fill here.

Full Name

Locality

Phone

E-Mail Address

Date of Birth

Gender

Female

Male

Weight

Height

Basal metabolic rate

[ Fill in date of birth, gender, weight and height ]

Body mass index

[ Fill in weight and height ]

How did you hear about us?

Consents

Check all the options that you consent to the processing of personal data by the mentioned consultant.

I agree that the operator will process the following categories of data that can indicate my health: weight, body mass index ("BMI") in order to carry out a wellness assessment and recommend a nutritional and physical activity plan customized to my needs and objectives, active and basal metabolic rate, insomnia, digestive problems, pain, hypertension, fatigue / lack of energy, lack of calcium, caloric intake, physical exertion, daily requirement of macronutrients, cholesterol problems, stress, measurements of the circumferences.

I have read, understood and agree to the Privacy Policy.

Acordul.Ro

Nutritional Profile

Personal Data

Your current situation

Goals and motivations

Consents