12 Questions for Health Survey
-All questions are based on daily average-
1. How many servings of uncooked fruits (1 medium sized fruit per serving/ size of one fist) do you eat daily? ______________________________________________________________________________
2. How many uncooked servings (1 cup per serving/size of one fist) of vegetables do you have daily? __
3. How many servings of animal products total do you have daily? Including all products made from animal (2-3 ounces per serving/size of deck of cards) of meat (cow, pig, chicken, fish, and all animals) including servings of dairy/eggs (8oz milk, 8oz yogurt, 1 egg, or 1 once/small eraser block of cheese) do you eat daily? ________________________________________________________________________
4. How many servings (100 calories or 2-5 bites of food) of refined food
(white flour, white rice, sugar, oil, candy, chips, sugary drinks and ALL processed food) do you eat daily? ______________________________________________________________________________
5. How many minutes is your heart rate elevated (over 110 beats per minute or breathing heavy) for daily? ______________________________________________________________________________
6. How many minutes do you exercise with muscle contraction (resistance training/bodyweight exercises) daily? ______________________________________________________________________________
7. How many servings of alcohol do you have daily (1 shot liquor, 8oz beer, 6oz wine)? ____________
8. How many cigarettes do you smoke daily? ______________________________________________
9. How many pills do you consume daily (all over the counter such as aspirin or prescriptions?) ______
10. What is your rating of Love and gratitude for life: 1-10 (10 being the most Love)? ______________
11. Have you ever, or do you have any preventable diseases: clinically obese (over 30% body fat), heart disease, diabetes, or cancer? ____________________________________________________________
12. What is your name, email, phone number, and today’s date? ____________________if possible...
-1 minute video testimonial: strength, endurance, energy, emotion, & health-
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All information will be kept confidential and is for yearly updates.
Please send an updated version yearly to OrganicFitness@gmail.com
All information gathered is intended to enable humanity to find a cure to disease and a way to happiness through Love and Gratitude.
Ideas are always welcome @ www.OrganicFitness.Org
Please spread the idea, it is worth it! …Email to a friend and spread health!
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Chris Nettles, Owner of C.J.'s Draft House
Dear Keith,
Just a letter to express my gratitude for all of your help. When I started training with you , I weighed 220 lbs. With your expertise and knowledge and my will and determination, I now weigh 183 lbs (it only took 5 months, the slower you lose it, the easier it is to keep off) That is almost 40 lbs of fat gone forever! Eight months later, I still eat and train just as hard if not harder. Your supervision of my diet was an aspect of your program that no other trainer has ever done for me. As you know I own a restaurant and am around lots of food that tastes great but is sooooo bad for you. Now my normal choices are grilled chicken and fish, broccoli, and lots of delicious salads. I now eat lots of fruits and vegetables, I stay away from refined grains, and I love life. I feel great. At 38 years old, I feel like I’m in my early 20’s. I even did a 75 mile bike ride to the keys just 3 months after we started our training. Keep up the good work and if anyone has any doubt that they can do it, have them call me!
Amy Borders, Mother of two beautiful children
I trained with Keith Lopez for two years. As a 30-something mother of two boys, I knew nothing about fitness. In fact, I had never participated in sports or any other athletic activity. I didn't even understand where my biceps and triceps were, and I had never done a single push-up in my life. I started training with the intent to do just a few sessions to learn the basics, but he always made the sessions so fun, innovative, and challenging that I kept buying more sessions for two years. I would still be training with him if he hadn't relocated. As a result of his extreme patience, dedication, and encouragement I can now do exercises that I never could have imagined were possible for me. I can do 15+ pull-ups consecutively, multiple types of push-ups and I can bench press my own body weight - all with perfect form. He always said that he would never ask me to try an exercise that I wasn't capable of so I just assumed I must be able to do the exercise and forgot to doubt myself.
Most importantly, my increased self esteem translated to other areas of my life. Now I serve as role-model to other women who want to reach the levels that I have. The fact that I continue to inspire others keeps me motivated. When I'm doing all the exercises he taught me I still hear his instructions and remember how important perfect form is. There is always room for improvement so I continue to challenge myself farther, both in exercise and nutrition. In fact, during my vacation I plan to work out on the beach with friends, just because it's fun! Thanks to Keith Lopez I feel healthy and strong and have a lifelong passion for exercise. I will never forget how valuable his sessions were.
-Amy Borders
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