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Background Information      
JOB TYPE

Indicate NIL if not applicable

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Basic Health Survey

(e.g. jogging, swimming, cycling, brisk walking, playing soccer, basketball and dancing)

(For example, 3-in-1 coffee or tea, soft drinks, fruit drinks/juices, packet drinks, milo, cordials)

 (For example: ordering less sugar at the drinks stall, instant coffee with less sugar, reduced sugar or no sugar in soy milk)

(e.g. dishes with HPB's healthier choice symbol, 500kcal meals, meals with healthier substitutes)

My goals

My goals for the next fitness measurement: 

I want to improve the following... (Choose at most 2 from each category)

NUTRITION
PHYSICAL ACTIVITY
Manage my daily calorie intake

How will I do it?

Incorporate more wholegrains into my diet

How will I do it?

Reduce sugar intake

How will I do it?

Reduce fat intake

How will I do it?

Increase consumption of fruits and vegetables

How will I do it?

Aim for at least 150 minutes of physical activity per week

How will I do it?

Increase strength training

Join Get Fit! 12 weeks programme and improve in Body Weight Strength Assessment.

Reduce sedentary habits at work

How will I do it?

Safety & Personal Data Release Agreement:

Safety:

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Personal Data Release Agreement:

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Consent to be contacted

Thank You So Much!

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