Docstoc

WellCheck 1.2-28AUG2011.xlsx - WellCheck-Database

Document Sample
WellCheck 1.2-28AUG2011.xlsx - WellCheck-Database Powered By Docstoc
					M#   Name                 Phone              Email
 1   Jeremy Book          618 - 531 - 4168   drjeremy@chiro-works.net
 2   Elizabeth Kindhart   618 - 420 - 9035   eliza90103@hotmail.com
 3   Terry Swalley        618 - 223 - 4586   tcswalley@gmail.com
 4   Brett Boerm          618 - 345 - 9757   jbboerm262@hotmail.com
 5   Elizabeth Price      618 - 345 - 5636   johnpricejr@hotmail.com
 6   Chris Boerner        314 - 445 - 2446   chris.boerner@charter.net
 7   Dianne Black         618 - 538 - 5457   dblack@scu.org
 8   Julie Brown          618 - 344 - 0135   jbrown@kahoks.org
 9   Sherry Morhaus       618 - 973 - 9696   sherry_morhaus@yahoo.com
10   Kim Martin           618-258-4829       kimscotnlv@yahoo.com
11   Jessica Stephenson   618.334.4346       jstephenson122605@yahoo.com
12   Michael Matthews     618.447.4862       ladofone_04@yahoo.com
13   Terry Swalley        618 - 223 - 4586   drjeremy@chiro-works.net
14   Terry Swalley        618 - 223 - 4586   drjeremy@chiro-works.net
15   Terry Swalley        618 - 223 - 4586   drjeremy@chiro-works.net
16   Terry Swalley        618 - 223 - 4586   drjeremy@chiro-works.net
17   Terry Swalley        618 - 223 - 4586   drjeremy@chiro-works.net
18   Terry Swalley        618 - 223 - 4586   drjeremy@chiro-works.net
19   Terry Swalley        618 - 223 - 4586   drjeremy@chiro-works.net
20   Terry Swalley        618 - 223 - 4586   drjeremy@chiro-works.net
21   Terry Swalley        618 - 223 - 4586   drjeremy@chiro-works.net
22   Terry Swalley        618 - 223 - 4586   drjeremy@chiro-works.net
23   Terry Swalley        618 - 223 - 4586   drjeremy@chiro-works.net
24   Terry Swalley        618 - 223 - 4586   drjeremy@chiro-works.net
25   Terry Swalley        618 - 223 - 4586   drjeremy@chiro-works.net
26   Terry Swalley        618 - 223 - 4586   drjeremy@chiro-works.net
27   Terry Swalley        618 - 223 - 4586   drjeremy@chiro-works.net
28   Terry Swalley        618 - 223 - 4586   drjeremy@chiro-works.net
29   Terry Swalley        618 - 223 - 4586   drjeremy@chiro-works.net
30   Terry Swalley        618 - 223 - 4586   drjeremy@chiro-works.net
31   Terry Swalley        618 - 223 - 4586   drjeremy@chiro-works.net
32   Terry Swalley        618 - 223 - 4586   drjeremy@chiro-works.net
33   Terry Swalley        618 - 223 - 4586   drjeremy@chiro-works.net
34   Terry Swalley        618 - 223 - 4586   drjeremy@chiro-works.net
35   Terry Swalley        618 - 223 - 4586   drjeremy@chiro-works.net
36   Terry Swalley        618 - 223 - 4586   drjeremy@chiro-works.net
37   Terry Swalley        618 - 223 - 4586   drjeremy@chiro-works.net
38   Terry Swalley        618 - 223 - 4586   drjeremy@chiro-works.net
39   Terry Swalley        618 - 223 - 4586   drjeremy@chiro-works.net
40   Terry Swalley        618 - 223 - 4586   drjeremy@chiro-works.net
41   Terry Swalley        618 - 223 - 4586   drjeremy@chiro-works.net
42   Terry Swalley        618 - 223 - 4586   drjeremy@chiro-works.net
43   Terry Swalley        618 - 223 - 4586   drjeremy@chiro-works.net
44   Terry Swalley        618 - 223 - 4586   drjeremy@chiro-works.net
45   Terry Swalley        618 - 223 - 4586   drjeremy@chiro-works.net
46   Terry Swalley        618 - 223 - 4586   drjeremy@chiro-works.net
47   Terry Swalley   618 - 223 - 4586   drjeremy@chiro-works.net
48   Terry Swalley   618 - 223 - 4586   drjeremy@chiro-works.net
49   Terry Swalley   618 - 223 - 4586   drjeremy@chiro-works.net
50   Terry Swalley   618 - 223 - 4586   drjeremy@chiro-works.net
WELLNESS WORKS: PROGRAM OVERVIEW
      Enter Wellness Score from respective Individual Sheets in these cells


      Baseline Average:                                225.00


 M#   Name                             Afilliation                                Baseline %Rank    %Average
 1    Jeremy Book                      Chiro-Works Practice Member                   276.73  82.30%         22.99%
 2    Elizabeth Kindhart               Chiro-Works Practice Member                   260.88  70.50%         15.95%
 3    Terry Swalley                    Chiro-Works Practice Member                   264.17  76.40%         17.41%
 4    Brett Boerm                      Chiro-Works Practice Member                   215.85  35.20%          -4.07%
 5    Elizabeth Price                  Chiro-Works Practice Member                   183.88  23.50%        -18.28%
 6    Chris Boerner                    Chiro-Works Practice Member                   217.84  47.00%          -3.18%
 7    Dianne Black                     Chiro-Works Practice Member                   182.43  17.60%        -18.92%
 8    Julie Brown                      Chiro-Works Practice Member                   288.87  88.20%         28.39%
 9    Sherry Morhaus                   Chiro-Works Practice Member                   242.66  64.70%           7.85%
 10   Kim Martin                       Chiro-Works Practice Member                   297.52  94.10%         32.23%
 11   Jessica Stephenson               Chiro-Works Practice Member                   107.71   0.00%        -52.13%
 12   Michael Matthews                 Chiro-Works Practice Member                   237.12  58.80%           5.39%
 13   Eric Wolters                     Chiro-Works Practice Member                   316.05 100.00%         40.47%
 14   Mike Mueller                     Chiro-Works Practice Member                   197.31  29.40%        -12.31%
 15   Sandy Grimes                     Chiro-Works Practice Member                   174.80  11.70%        -22.31%
 16   Gus Brecht                       Chiro-Works Practice Member                   221.90  52.90%          -1.38%
 17   Therea McCorkle                  Chiro-Works Practice Member                   147.70   5.80%        -34.36%
 18   Ed Korber                        Chiro-Works Practice Member                   216.58  41.10%          -3.74%
 19                                0                                          0              #N/A         -100.00%
 20                                0                                          0              #N/A         -100.00%
 21                                0                                          0              #N/A         -100.00%
 22                                0                                          0              #N/A         -100.00%
 23   Elizabeth Kindhart               Chiro-Works Practice Member                           #N/A         -100.00%
 24   Elizabeth Kindhart               Chiro-Works Practice Member                           #N/A         -100.00%
 25   Elizabeth Kindhart               Chiro-Works Practice Member                           #N/A         -100.00%
 26   Elizabeth Kindhart               Chiro-Works Practice Member                           #N/A         -100.00%
 27   Elizabeth Kindhart               Chiro-Works Practice Member                           #N/A         -100.00%
 28   Elizabeth Kindhart               Chiro-Works Practice Member                           #N/A         -100.00%
 29   Elizabeth Kindhart               Chiro-Works Practice Member                           #N/A         -100.00%
 30   Elizabeth Kindhart               Chiro-Works Practice Member                           #N/A         -100.00%
 31   Elizabeth Kindhart               Chiro-Works Practice Member                           #N/A         -100.00%
 32   Elizabeth Kindhart               Chiro-Works Practice Member                           #N/A         -100.00%
 33   Elizabeth Kindhart               Chiro-Works Practice Member                           #N/A         -100.00%
 34   Elizabeth Kindhart               Chiro-Works Practice Member                           #N/A         -100.00%
 35   Elizabeth Kindhart               Chiro-Works Practice Member                           #N/A         -100.00%
 36   Elizabeth Kindhart               Chiro-Works Practice Member                           #N/A         -100.00%
 37   Elizabeth Kindhart               Chiro-Works Practice Member                           #N/A         -100.00%
 38   Elizabeth Kindhart               Chiro-Works Practice Member                           #N/A         -100.00%
39   Elizabeth Kindhart   Chiro-Works Practice Member   #N/A   -100.00%
40   Elizabeth Kindhart   Chiro-Works Practice Member   #N/A   -100.00%
41   Elizabeth Kindhart   Chiro-Works Practice Member   #N/A   -100.00%
42   Elizabeth Kindhart   Chiro-Works Practice Member   #N/A   -100.00%
43   Elizabeth Kindhart   Chiro-Works Practice Member   #N/A   -100.00%
44   Elizabeth Kindhart   Chiro-Works Practice Member   #N/A   -100.00%
45   Elizabeth Kindhart   Chiro-Works Practice Member   #N/A   -100.00%
46   Elizabeth Kindhart   Chiro-Works Practice Member   #N/A   -100.00%
47   Elizabeth Kindhart   Chiro-Works Practice Member   #N/A   -100.00%
48   Elizabeth Kindhart   Chiro-Works Practice Member   #N/A   -100.00%
49   Elizabeth Kindhart   Chiro-Works Practice Member   #N/A   -100.00%
50   Elizabeth Kindhart   Chiro-Works Practice Member   #N/A   -100.00%
WS-2   %Change %Rank   %Average WPS-3   %Rank   %Average
                                                                         Wellness Works: Member Profile
                                 Name:            Jeremy Book
                            Affiliation:   Chiro-Works Practice Member
                                Phone:           618 - 531 - 4168
                                 Email:     drjeremy@chiro-works.net

Factual Overview                                                                Wellness Dashboard
Name:                                             Jeremy Book                   Date:                 8/7/2011
Gender:                                               Male                      Weight:                  200
Age (Years):                                           34                       Body Fat %               21
Height (Inches):                                       76                       LMM%                     36
Ideal Weight (Pounds):                                187                       Wellness Life:         355.01            0.00           0.00           0.00      0.00         0.00
Ideal Body Fat Percentage:                            16.7                      Wellness Scale:        276.73          #DIV/0!        #DIV/0!         #DIV/0!   #DIV/0!      #DIV/0!
Ideal Lean Muscle Mass Percent:                        42                       *For Wellness Lifestyle Scale, please see form on Page 3 of this Workbook.

                Wellness Gauge: Body Composition                                Wellness Report Card
                       Ideal Body Fat::               16.7                                                         Affiliation            % Off Average
                      Actual Body Fat:                 21                                                                                                        Platinum: 91-100%




                                                                                             Your Standing:

                                                                                                              82.30%
                   Ideal Muscle Mass:                  42                                                                                                           Gold: 76-90%




                                                                                                                                 Bronze
                  Actual Muscle Mass:                  36                                                                                                           Silver: 51-75%

                                                                                                                                          22.99%                   Bronze: 26-50%
                                                                                                                                                                     Blue: 0-25%
  60

  50

  40
                                                                 Muscle Mass
  30                                                             Body Fat       Comments and Suggestions:
  20

  10

   0
         Ideal Body Fat::     Actual Body Fat:

               ACTIVITIES: Gym Membership..…Walking Club…..Cardio (Running/Walking)…..Interval Cardio…..Functional Core…..Daily Postural Regimine..…Aerobics Classes…5K
                          DIETARY: Whole Food Supplements…..Cleansing/Toxicity…..Isagenix…..Hydration…..Raw Salt Intake…..Fresh Fruits/Veggies…..Whole Grains
                     ASSOCIATED WELLNESS: Chiropractor Visits…..Sleep…..Mineral Balancing…..Massage Therapy…..Planned Dietary….Grocery Store Tour…..CBC Testing
                                                Physical Exam..…Blood Pressure…..Dental Wellness…..Vision Wellness…..Personal Trainer
WELLNESS LIFESTYLE             DATE:                           8/7/2011                           1/0/1900                       1/0/1900                       1/0/1900
Description                    Notes                        Frequency     AWP              Frequency         AWP          Frequency         AWP          Frequency         AWP
Activities
Gym Membership                 Weekly Usage                      3                30                                0                              0                              0
Walking/Bicycle Club           Weekly Attendance                 0                0                                 0                              0                              0
Adult Sports League            Weekly Attendance                 0                0                                 0                              0                              0
Cardio (Running/Walking)       Weekly Frequency                  2                16                                0                              0                              0
Interval Cardio                Weekly Frequency                  0                0                                 0                              0                              0
Functional Core Exercises      Weekly Frequency                  1                10                                0                              0                              0
Daily Postural Regimine        Weekly Frequency                  5                40                                0                              0                              0
Aerobics/MA Classes            Weekly Frequency                  0                0                                 0                              0                              0
5K Participation/Marathon      Annual Frequency                  0                0                                 0                              0                              0
Dietary
Whole Food Supplements         Weekly Usage                      5                45                                0                              0                              0
Cleansing/Toxicity Program     Weekly Usage                      0                 0                                0                              0                              0
Hydration/Water Intake         Daily 8 oz. Servings              8               26.56                              0                              0                              0
Raw Salt Intake                1/2 tsp. Servings per week        5                30                                0                              0                              0
Fresh Fruits/Vegetables        Daily Servings                    3               12.45                              0                              0                              0
Whole Grains                   Daily Servings                    1                2.5                               0                              0                              0
White Meat (non-fried)         Daily Servings                    1                2.5                               0                              0                              0
Associated Wellness
Chiropractor Visits            Weekly Frequency                  3                45                                0                              0                              0
Wellness Program Part.         Monthly Frequency                 1                15                                0                              0                              0
Sleep Habits                   Hours Per Night                   7                28                                0                              0                              0
Mineral Balancing              Annual Frequency                  0                0                                 0                              0                              0
Massage Therapy                Monthly Frequency                 0                0                                 0                              0                              0
Planned Dietary Program        Weekly Frequency                  3                12                                0                              0                              0
Physical Examination           Annual Frequency                  1                20                                0                              0                              0
Complete Blood Count Testing   Annual Frequency                  0                0                                 0                              0                              0
Blood Pressure Checks          Quarterly Frequency               1                5                                 0                              0                              0
Dental Wellness Assessment     Bi-Annual Frequency               2                15                                0                              0                              0
Vision/Optometry Wellness      Annual Frequency                  0                0                                 0                              0                              0
Personal Trainer               Weekly Frequency                  0                0                                 0                              0                              0
TOTAL                                                                           355.01                             0.00                           0.00                           0.00


Critical Wellness Number Tracking
DATE:                                       8/7/2011         1/0/1900           1/0/1900      1/0/1900         1/0/1900      1/0/1900
Wellness Scale:                   276.73   #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
Wellness Scale Percent Change:             #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
WEIGHT:                            200        0         0         0         0         0
Weight Scale:                     279.14    600.00    600.00    600.00    600.00    600.00
Weight Percent Change:                     114.94%    0.00%     0.00%     0.00%     0.00%
BODY FAT PERCENTAGE:                21        0         0         0         0         0
BF% Scale:                        222.75    600.00    600.00    600.00    600.00    600.00
BF% Percent Change:                        169.35%    0.00%     0.00%     0.00%     0.00%
LEAN MUSCLE PERCENTAGE:             36        0         0         0         0         0
LMM% Scale:                       250.00   #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
LMM% Percent Change:                       #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
WELLNESS LIFESTYLE:               355.01    0.00      0.00      0.00      0.00      0.00
Lifestyle Scale Percent Change:            -100.00%   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
   1/0/1900                1/0/1900
Frequency     AWP       Frequency     AWP


                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0

                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0

                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                0.00                    0.00
                                                                         Wellness Works: Member Profile
                                 Name:       Elizabeth Kindhart
                            Affiliation:   Chiro-Works Practice Member
                                Phone:           618 - 420 - 9035
                                 Email:      eliza90103@hotmail.com

Factual Overview                                                                Wellness Dashboard
Name:                                        Elizabeth Kindhart                 Date:                 8/8/2011
Gender:                                            Female                       Weight:                  112
Age (Years):                                          22                        Body Fat %               25.1
Height (Inches):                                      64                        LMM%                     30.3
Ideal Weight (Pounds):                               138                        Wellness Life:         165.23            0.00           0.00           0.00      0.00         0.00
Ideal Body Fat Percentage:                          23.4                        Wellness Scale:        260.88          #DIV/0!        #DIV/0!         #DIV/0!   #DIV/0!      #DIV/0!
Ideal Lean Muscle Mass Percent:                       36                        *For Wellness Lifestyle Scale, please see form on Page 3 of this Workbook.

                Wellness Gauge: Body Composition                                Wellness Report Card
                       Ideal Body Fat::               23.4                                                         Affiliation            % Off Average
                      Actual Body Fat:                25.1                                                                                                       Platinum: 91-100%




                                                                                             Your Standing:

                                                                                                              70.50%
                   Ideal Muscle Mass:                  36                                                                                                           Gold: 76-90%




                                                                                                                                 Bronze
                  Actual Muscle Mass:                 30.3                                                                                                          Silver: 51-75%

                                                                                                                                          15.95%                   Bronze: 26-50%
                                                                                                                                                                     Blue: 0-25%
  60

  50

  40
                                                                 Muscle Mass
  30                                                             Body Fat       Comments and Suggestions:
  20

  10

   0
         Ideal Body Fat::     Actual Body Fat:

               ACTIVITIES: Gym Membership..…Walking Club…..Cardio (Running/Walking)…..Interval Cardio…..Functional Core…..Daily Postural Regimine..…Aerobics Classes…5K
                          DIETARY: Whole Food Supplements…..Cleansing/Toxicity…..Isagenix…..Hydration…..Raw Salt Intake…..Fresh Fruits/Veggies…..Whole Grains
                     ASSOCIATED WELLNESS: Chiropractor Visits…..Sleep…..Mineral Balancing…..Massage Therapy…..Planned Dietary….Grocery Store Tour…..CBC Testing
                                                Physical Exam..…Blood Pressure…..Dental Wellness…..Vision Wellness…..Personal Trainer
WELLNESS LIFESTYLE             DATE:                           8/8/2011                           1/0/1900                       1/0/1900                       1/0/1900
Description                    Notes                        Frequency     AWP              Frequency         AWP          Frequency         AWP          Frequency         AWP
Activities
Gym Membership                 Weekly Usage                      0                0                                 0                              0                              0
Walking/Bicycle Club           Weekly Attendance                 0                0                                 0                              0                              0
Adult Sports League            Weekly Attendance                 0                0                                 0                              0                              0
Cardio (Running/Walking)       Weekly Frequency                  4                32                                0                              0                              0
Interval Cardio                Weekly Frequency                  4                32                                0                              0                              0
Functional Core Exercises      Weekly Frequency                  0                0                                 0                              0                              0
Daily Postural Regimine        Weekly Frequency                  0                0                                 0                              0                              0
Aerobics/MA Classes            Weekly Frequency                  0                0                                 0                              0                              0
5K Participation/Marathon      Annual Frequency                  0                0                                 0                              0                              0
Dietary
Whole Food Supplements         Weekly Usage                      0                 0                                0                              0                              0
Cleansing/Toxicity Program     Weekly Usage                      0                 0                                0                              0                              0
Hydration/Water Intake         Daily 8 oz. Servings              4               13.28                              0                              0                              0
Raw Salt Intake                1/2 tsp. Servings per week        0                 0                                0                              0                              0
Fresh Fruits/Vegetables        Daily Servings                    3               12.45                              0                              0                              0
Whole Grains                   Daily Servings                    2                 5                                0                              0                              0
White Meat (non-fried)         Daily Servings                    2                 5                                0                              0                              0
Associated Wellness
Chiropractor Visits            Weekly Frequency                  0                 0                                0                              0                              0
Wellness Program Part.         Monthly Frequency                 1                15                                0                              0                              0
Sleep Habits                   Hours Per Night                   7                28                                0                              0                              0
Mineral Balancing              Annual Frequency                  0                 0                                0                              0                              0
Massage Therapy                Monthly Frequency                 0                 0                                0                              0                              0
Planned Dietary Program        Weekly Frequency                  0                 0                                0                              0                              0
Physical Examination           Annual Frequency                  0                 0                                0                              0                              0
Complete Blood Count Testing   Annual Frequency                  0                 0                                0                              0                              0
Blood Pressure Checks          Quarterly Frequency               0                 0                                0                              0                              0
Dental Wellness Assessment     Bi-Annual Frequency               1                7.5                               0                              0                              0
Vision/Optometry Wellness      Annual Frequency                  1                15                                0                              0                              0
Personal Trainer               Weekly Frequency                  0                 0                                0                              0                              0
TOTAL                                                                           165.23                             0.00                           0.00                           0.00


Critical Wellness Number Tracking
DATE:                                       8/8/2011         1/0/1900           1/0/1900      1/0/1900         1/0/1900      1/0/1900
Wellness Scale:                   260.88   #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
Wellness Scale Percent Change:             #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
WEIGHT:                            112        0         0         0         0         0
Weight Scale:                     356.52    600.00    600.00    600.00    600.00    600.00
Weight Percent Change:                     68.29%     0.00%     0.00%     0.00%     0.00%
BODY FAT PERCENTAGE:               25.1       0         0         0         0         0
BF% Scale:                        278.21    600.00    600.00    600.00    600.00    600.00
BF% Percent Change:                        115.67%    0.00%     0.00%     0.00%     0.00%
LEAN MUSCLE PERCENTAGE:            30.3       0         0         0         0         0
LMM% Scale:                       243.56   #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
LMM% Percent Change:                       #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
WELLNESS LIFESTYLE:               165.23    0.00      0.00      0.00      0.00      0.00
Lifestyle Scale Percent Change:            -100.00%   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
   1/0/1900                1/0/1900
Frequency     AWP       Frequency     AWP


                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0

                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0

                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                0.00                    0.00
                                                                             Wellness Works: Member Profile
                                  Name:        Terry Swalley
                             Affiliation:    Chiro-Works Practice Member

                                 Phone:      618 - 223 - 4586
                                  Email:     tcswalley@gmail.com

Factual Overview                                                                   Wellness Dashboard
Name:                                          Terry Swalley                       Date:                 8/8/2011
Gender:                                            Male                            Weight:                 167.4
Age (Years):                                         28                            Body Fat %               18.8
Height (Inches):                                     74                            LMM%                     38.8
Ideal Weight (Pounds):                              178                            Wellness Life:         213.87            0.00           0.00           0.00      0.00         0.00
Ideal Body Fat Percentage:                         16.1                            Wellness Scale:        264.17           #DIV/0!       #DIV/0!         #DIV/0!   #DIV/0!      #DIV/0!
Ideal Lean Muscle Mass Percent:                      42                            *For Wellness Lifestyle Scale, please see form on Page 3 of this Workbook.

                 Wellness Gauge: Body Comp                                         Wellness Report Card
                       Ideal Body Fat::               16.1                                                            Affiliation            % Off Average
                      Actual Body Fat:                18.8                                                                                                          Platinum: 91-100%




                                                                                                Your Standing:

                                                                                                                 76.40%
                   Ideal Muscle Mass:                  42                                                                                                              Gold: 76-90%




                                                                                                                                    Bronze
                  Actual Muscle Mass:                 38.8                                                                                                             Silver: 51-75%

                                                                                                                                             17.41%                   Bronze: 26-50%
                                                                                                                                                                        Blue: 0-25%
  60

  50

  40
                                                               Muscle Mass
  30                                                                               Comments and Suggestions:
                                                               Body Fat
  20

  10

   0
       Ideal Body Fat::   Actual Body Fat:

              ACTIVITIES: Gym Membership..…Walking Club…..Cardio (Running/Walking)…..Interval Cardio…..Functional Core…..Daily Postural Regimine..…Aerobics Classes…5K
                         DIETARY: Whole Food Supplements…..Cleansing/Toxicity…..Isagenix…..Hydration…..Raw Salt Intake…..Fresh Fruits/Veggies…..Whole Grains
                    ASSOCIATED WELLNESS: Chiropractor Visits…..Sleep…..Mineral Balancing…..Massage Therapy…..Planned Dietary….Grocery Store Tour…..CBC Testing
                                               Physical Exam..…Blood Pressure…..Dental Wellness…..Vision Wellness…..Personal Trainer
WELLNESS LIFESTYLE             DATE:                                    8/8/2011                           1/0/1900                       1/0/1900                       1/0/1900
Description                    Notes                        Frequency              AWP              Frequency         AWP          Frequency         AWP          Frequency         AWP
Activities
Gym Membership                 Weekly Usage                         0                      0                                 0                              0                              0
Walking/Bicycle Club           Weekly Attendance                    0                      0                                 0                              0                              0
Adult Sports League            Weekly Attendance                    0                      0                                 0                              0                              0
Cardio (Running/Walking)       Weekly Frequency                     1                      8                                 0                              0                              0
Interval Cardio                Weekly Frequency                     0                      0                                 0                              0                              0
Functional Core Exercises      Weekly Frequency                     2                      20                                0                              0                              0
Daily Postural Regimine        Weekly Frequency                     2                      16                                0                              0                              0
Aerobics/MA Classes            Weekly Frequency                     0                      0                                 0                              0                              0
5K Participation/Marathon      Annual Frequency                     1                      6                                 0                              0                              0
Dietary
Whole Food Supplements         Weekly Usage                         3                      27                                0                              0                              0
Cleansing/Toxicity Program     Weekly Usage                         1                       8                                0                              0                              0
Hydration/Water Intake         Daily 8 oz. Servings                 6                     19.92                              0                              0                              0
Raw Salt Intake                1/2 tsp. Servings per week           3                      18                                0                              0                              0
Fresh Fruits/Vegetables        Daily Servings                       3                     12.45                              0                              0                              0
Whole Grains                   Daily Servings                       1                      2.5                               0                              0                              0
White Meat (non-fried)         Daily Servings                       1                      2.5                               0                              0                              0
Associated Wellness
Chiropractor Visits            Weekly Frequency                     1                      15                                0                              0                              0
Wellness Program Part.         Monthly Frequency                    1                      15                                0                              0                              0
Sleep Habits                   Hours Per Night                      6                      24                                0                              0                              0
Mineral Balancing              Annual Frequency                     0                       0                                0                              0                              0
Massage Therapy                Monthly Frequency                    0                       0                                0                              0                              0
Planned Dietary Program        Weekly Frequency                     3                      12                                0                              0                              0
Physical Examination           Annual Frequency                     0                       0                                0                              0                              0
Complete Blood Count Testing   Annual Frequency                     0                       0                                0                              0                              0
Blood Pressure Checks          Quarterly Frequency                  0                       0                                0                              0                              0
Dental Wellness Assessment     Bi-Annual Frequency                  1                      7.5                               0                              0                              0
Vision/Optometry Wellness      Annual Frequency                     0                       0                                0                              0                              0
Personal Trainer               Weekly Frequency                     0                       0                                0                              0                              0
TOTAL                                                                                    213.87                             0.00                           0.00                           0.00


Critical Wellness Number Tracking
DATE:                                 8/8/2011                   1/0/1900                1/0/1900      1/0/1900         1/0/1900      1/0/1900
Wellness Scale:                   264.17   #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
Wellness Scale Percent Change:             #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
WEIGHT:                            167.4      0         0         0         0         0
Weight Scale:                     317.87    600.00    600.00    600.00    600.00    600.00
Weight Percent Change:                     88.76%     0.00%     0.00%     0.00%     0.00%
BODY FAT PERCENTAGE:               18.8       0         0         0         0         0
BF% Scale:                        249.69    600.00    600.00    600.00    600.00    600.00
BF% Percent Change:                        140.30%    0.00%     0.00%     0.00%     0.00%
LEAN MUSCLE PERCENTAGE:            38.8       0         0         0         0         0
LMM% Scale:                       275.26   #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
LMM% Percent Change:                       #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
WELLNESS LIFESTYLE:               213.87    0.00      0.00      0.00      0.00      0.00
Lifestyle Scale Percent Change:            -100.00%   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
   1/0/1900                1/0/1900
Frequency     AWP       Frequency     AWP


                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0

                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0

                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                0.00                    0.00
                                                                         Wellness Works: Member Profile
                                 Name:          Brett Boerm
                            Affiliation:   Chiro-Works Practice Member
                                Phone:        618 - 345 - 9757
                                 Email:     jbboerm262@hotmail.com

Factual Overview                                                                Wellness Dashboard
Name:                                           Brett Boerm                     Date:                8/10/2011
Gender:                                            Male                         Weight:                  189
Age (Years):                                         36                         Body Fat %              26.1
Height (Inches):                                     70                         LMM%                    35.3
Ideal Weight (Pounds):                              163                         Wellness Life:         196.07           0.00           0.00           0.00      0.00         0.00
Ideal Body Fat Percentage:                          18.3                        Wellness Scale:        215.85          #DIV/0!       #DIV/0!         #DIV/0!   #DIV/0!      #DIV/0!
Ideal Lean Muscle Mass Percent:                      42                         *For Wellness Lifestyle Scale, please see form on Page 3 of this Workbook.

                 Wellness Gauge: Body Composition                               Wellness Report Card
                       Ideal Body Fat::              18.3                                                          Affiliation          % Off Average
                      Actual Body Fat:               26.1                                                                                                       Platinum: 91-100%




                                                                                             Your Standing:

                                                                                                              35.20%
                   Ideal Muscle Mass:                 42                                                                                                           Gold: 76-90%




                                                                                                                             Bronze
                  Actual Muscle Mass:                35.3                                                                                                          Silver: 51-75%

                                                                                                                                       -4.07%                     Bronze: 26-50%
                                                                                                                                                                    Blue: 0-25%
  60

  50

  40
                                                              Muscle Mass
  30                                                          Body Fat          Comments and Suggestions:
  20

  10

   0
        Ideal Body Fat::   Actual Body Fat:

               ACTIVITIES: Gym Membership..…Walking Club…..Cardio (Running/Walking)…..Interval Cardio…..Functional Core…..Daily Postural Regimine..…Aerobics Classes…5K
                          DIETARY: Whole Food Supplements…..Cleansing/Toxicity…..Isagenix…..Hydration…..Raw Salt Intake…..Fresh Fruits/Veggies…..Whole Grains
                     ASSOCIATED WELLNESS: Chiropractor Visits…..Sleep…..Mineral Balancing…..Massage Therapy…..Planned Dietary….Grocery Store Tour…..CBC Testing
                                                Physical Exam..…Blood Pressure…..Dental Wellness…..Vision Wellness…..Personal Trainer
WELLNESS LIFESTYLE             DATE:                                    8/10/2011                          1/0/1900                       1/0/1900                       1/0/1900
Description                    Notes                        Frequency               AWP              Frequency        AWP          Frequency         AWP          Frequency         AWP
Activities
Gym Membership                 Weekly Usage                         2                       20                               0                              0                              0
Walking/Bicycle Club           Weekly Attendance                    0                       0                                0                              0                              0
Adult Sports League            Weekly Attendance                    0                       0                                0                              0                              0
Cardio (Running/Walking)       Weekly Frequency                     1                       8                                0                              0                              0
Interval Cardio                Weekly Frequency                     0                       0                                0                              0                              0
Functional Core Exercises      Weekly Frequency                     1                       10                               0                              0                              0
Daily Postural Regimine        Weekly Frequency                     2                       16                               0                              0                              0
Aerobics/MA Classes            Weekly Frequency                     0                       0                                0                              0                              0
5K Participation/Marathon      Annual Frequency                     0                       0                                0                              0                              0
Dietary
Whole Food Supplements         Weekly Usage                         0                        0                               0                              0                              0
Cleansing/Toxicity Program     Weekly Usage                         0                        0                               0                              0                              0
Hydration/Water Intake         Daily 8 oz. Servings                 6                      19.92                             0                              0                              0
Raw Salt Intake                1/2 tsp. Servings per week           0                        0                               0                              0                              0
Fresh Fruits/Vegetables        Daily Servings                       1                      4.15                              0                              0                              0
Whole Grains                   Daily Servings                       0                        0                               0                              0                              0
White Meat (non-fried)         Daily Servings                       1                       2.5                              0                              0                              0
Associated Wellness
Chiropractor Visits            Weekly Frequency                     2                       30                               0                              0                              0
Wellness Program Part.         Monthly Frequency                    1                       15                               0                              0                              0
Sleep Habits                   Hours Per Night                      7                       28                               0                              0                              0
Mineral Balancing              Annual Frequency                     0                        0                               0                              0                              0
Massage Therapy                Monthly Frequency                    0                        0                               0                              0                              0
Planned Dietary Program        Weekly Frequency                     0                        0                               0                              0                              0
Physical Examination           Annual Frequency                     1                       20                               0                              0                              0
Complete Blood Count Testing   Annual Frequency                     0                        0                               0                              0                              0
Blood Pressure Checks          Quarterly Frequency                  0                        0                               0                              0                              0
Dental Wellness Assessment     Bi-Annual Frequency                  1                       7.5                              0                              0                              0
Vision/Optometry Wellness      Annual Frequency                     1                       15                               0                              0                              0
Personal Trainer               Weekly Frequency                     0                        0                               0                              0                              0
TOTAL                                                                                     196.07                            0.00                           0.00                           0.00


Critical Wellness Number Tracking
DATE:                                   8/10/2011                1/0/1900                 1/0/1900      1/0/1900        1/0/1900      1/0/1900
Wellness Scale:                   215.85   #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
Wellness Scale Percent Change:             #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
WEIGHT:                            189        0         0         0         0         0
Weight Scale:                     252.15    600.00    600.00    600.00    600.00    600.00
Weight Percent Change:                     137.96%    0.00%     0.00%     0.00%     0.00%
BODY FAT PERCENTAGE:               26.1       0         0         0         0         0
BF% Scale:                        172.13    600.00    600.00    600.00    600.00    600.00
BF% Percent Change:                        248.57%    0.00%     0.00%     0.00%     0.00%
LEAN MUSCLE PERCENTAGE:            35.3       0         0         0         0         0
LMM% Scale:                       243.06   #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
LMM% Percent Change:                       #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
WELLNESS LIFESTYLE:               196.07    0.00      0.00      0.00      0.00      0.00
Lifestyle Scale Percent Change:            -100.00%   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
   1/0/1900                1/0/1900
Frequency     AWP       Frequency     AWP


                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0

                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0

                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                0.00                    0.00
                                                                                 Wellness Works: Member Profile
                                 Name:           Elizabeth Price
                            Affiliation:   Chiro-Works Practice Member
                                Phone:           618 - 345 - 5636
                                 Email:      johnpricejr@hotmail.com

Factual Overview                                                                    Wellness Dashboard
Name:                                            Elizabeth Price                    Date:
Gender:                                              Female                         Weight:                             179
Age (Years):                                            60                          Body Fat %                          47.1
Height (Inches):                                        62                          LMM%                                23.1
Ideal Weight (Pounds):                                 132                          Wellness Life:                     280.87                     0.00          0.00         0.00
Ideal Body Fat Percentage:                              30                          Wellness Scale:                    183.88                    #DIV/0!       #DIV/0!      #DIV/0!
Ideal Lean Muscle Mass Percent:                         36                          *For Wellness Lifestyle Scale, please see form on Page 3 of this Workbook.

                Wellness Gauge: Body Composition                                    Wellness Report Card
                       Ideal Body Fat::                30                                                                  Affiliation                            % Off Average
                      Actual Body Fat:                47.1




                                                                                                 Your Standing:




                                                                                                                     23.50%
                   Ideal Muscle Mass:                  36




                                                                                                                                                Bronze
                  Actual Muscle Mass:                 23.1

                                                                                                                                                               -18.28%
  60

  50

  40
                                                                   Muscle Mass
  30                                                               Body Fat         Comments and Suggestions:
  20

  10

   0
         Ideal Body Fat::     Actual Body Fat:

                              ACTIVITIES: Gym Membership..…Walking Club…..Cardio (Running/Walking)…..Interval Cardio…..Functional Core…..Daily Postural Regimine..…Aerobics Classes…5K
                                         DIETARY: Whole Food Supplements…..Cleansing/Toxicity…..Isagenix…..Hydration…..Raw Salt Intake…..Fresh Fruits/Veggies…..Whole Grains
                                    ASSOCIATED WELLNESS: Chiropractor Visits…..Sleep…..Mineral Balancing…..Massage Therapy…..Planned Dietary….Grocery Store Tour…..CBC Testing
                                                               Physical Exam..…Blood Pressure…..Dental Wellness…..Vision Wellness…..Personal Trainer
WELLNESS LIFESTYLE             DATE:                                    1/0/1900                                           1/0/1900                       1/0/1900
Description                    Notes                        Frequency              AWP              Frequency                         AWP          Frequency         AWP
Activities
Gym Membership                 Weekly Usage                         0                      0                                                 0                              0
Walking/Bicycle Club           Weekly Attendance                    0                      0                                                 0                              0
Adult Sports League            Weekly Attendance                    0                      0                                                 0                              0
Cardio (Running/Walking)       Weekly Frequency                     0                      0                                                 0                              0
Interval Cardio                Weekly Frequency                     0                      0                                                 0                              0
Functional Core Exercises      Weekly Frequency                     5                      50                                                0                              0
Daily Postural Regimine        Weekly Frequency                     0                      0                                                 0                              0
Aerobics/MA Classes            Weekly Frequency                     0                      0                                                 0                              0
5K Participation/Marathon      Annual Frequency                     0                      0                                                 0                              0
Dietary
Whole Food Supplements         Weekly Usage                         5                      45                                                0                              0
Cleansing/Toxicity Program     Weekly Usage                         0                       0                                                0                              0
Hydration/Water Intake         Daily 8 oz. Servings                 6                     19.92                                              0                              0
Raw Salt Intake                1/2 tsp. Servings per week           2                      12                                                0                              0
Fresh Fruits/Vegetables        Daily Servings                       3                     12.45                                              0                              0
Whole Grains                   Daily Servings                       0                       0                                                0                              0
White Meat (non-fried)         Daily Servings                       1                      2.5                                               0                              0
Associated Wellness
Chiropractor Visits            Weekly Frequency                     2                      30                                                0                              0
Wellness Program Part.         Monthly Frequency                    1                      15                                                0                              0
Sleep Habits                   Hours Per Night                      6                      24                                                0                              0
Mineral Balancing              Annual Frequency                     0                      0                                                 0                              0
Massage Therapy                Monthly Frequency                    0                      0                                                 0                              0
Planned Dietary Program        Weekly Frequency                     0                      0                                                 0                              0
Physical Examination           Annual Frequency                     1                      20                                                0                              0
Complete Blood Count Testing   Annual Frequency                     1                      15                                                0                              0
Blood Pressure Checks          Quarterly Frequency                  1                      5                                                 0                              0
Dental Wellness Assessment     Bi-Annual Frequency                  2                      15                                                0                              0
Vision/Optometry Wellness      Annual Frequency                     1                      15                                                0                              0
Personal Trainer               Weekly Frequency                     0                      0                                                 0                              0
TOTAL                                                                                    280.87                                             0.00                           0.00


Critical Wellness Number Tracking
DATE:                                       1/0/1900             1/0/1900                1/0/1900               1/0/1900                1/0/1900      1/0/1900
Wellness Scale:                   183.88   #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
Wellness Scale Percent Change:             #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
WEIGHT:                            179        0         0         0         0         0
Weight Scale:                     193.18    600.00    600.00    600.00    600.00    600.00
Weight Percent Change:                     210.59%    0.00%     0.00%     0.00%     0.00%
BODY FAT PERCENTAGE:               47.1       0         0         0         0         0
BF% Scale:                        129.00    600.00    600.00    600.00    600.00    600.00
BF% Percent Change:                        365.12%    0.00%     0.00%     0.00%     0.00%
LEAN MUSCLE PERCENTAGE:            23.1       0         0         0         0         0
LMM% Scale:                       132.47   #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
LMM% Percent Change:                       #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
WELLNESS LIFESTYLE:               280.87    0.00      0.00      0.00      0.00      0.00
Lifestyle Scale Percent Change:            -100.00%   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
                   0.00         0.00
                  #DIV/0!      #DIV/0!




                   Platinum: 91-100%
                      Gold: 76-90%
                      Silver: 51-75%
                     Bronze: 26-50%
                       Blue: 0-25%




bics Classes…5K
rains
 C Testing
       1/0/1900                   1/0/1900                1/0/1900
Frequency         AWP          Frequency     AWP       Frequency     AWP


                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0

                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0

                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                        0.00                   0.00                    0.00
                                                                                Wellness Works: Member Profile
                                 Name:            Chris Boerner
                            Affiliation:   Chiro-Works Practice Member
                                Phone:           314 - 445 - 2446
                                 Email:     chris.boerner@charter.net

Factual Overview                                                                   Wellness Dashboard
Name:                                             Chris Boerner                    Date:
Gender:                                               Male                         Weight:                             210
Age (Years):                                            42                         Body Fat %                          23.6
Height (Inches):                                        72                         LMM%                                35.8
Ideal Weight (Pounds):                                 170                         Wellness Life:                     162.65                     0.00          0.00         0.00
Ideal Body Fat Percentage:                             19.2                        Wellness Scale:                    217.84                    #DIV/0!       #DIV/0!      #DIV/0!
Ideal Lean Muscle Mass Percent:                         42                         *For Wellness Lifestyle Scale, please see form on Page 3 of this Workbook.

                Wellness Gauge: Body Composition                                   Wellness Report Card
                       Ideal Body Fat::               19.2                                                                Affiliation                            % Off Average
                      Actual Body Fat:                23.6




                                                                                                Your Standing:




                                                                                                                    47.00%
                   Ideal Muscle Mass:                  42




                                                                                                                                               Bronze
                  Actual Muscle Mass:                 35.8

                                                                                                                                                                -3.18%
  60

  50

  40
                                                                  Muscle Mass
  30                                                              Body Fat         Comments and Suggestions:
  20

  10

   0
         Ideal Body Fat::     Actual Body Fat:

                              ACTIVITIES: Gym Membership..…Walking Club…..Cardio (Running/Walking)…..Interval Cardio…..Functional Core…..Daily Postural Regimine..…Aerobics Classes…5K
                                         DIETARY: Whole Food Supplements…..Cleansing/Toxicity…..Isagenix…..Hydration…..Raw Salt Intake…..Fresh Fruits/Veggies…..Whole Grains
                                    ASSOCIATED WELLNESS: Chiropractor Visits…..Sleep…..Mineral Balancing…..Massage Therapy…..Planned Dietary….Grocery Store Tour…..CBC Testing
                                                               Physical Exam..…Blood Pressure…..Dental Wellness…..Vision Wellness…..Personal Trainer
WELLNESS LIFESTYLE             DATE:                                    1/0/1900                                           1/0/1900                       1/0/1900
Description                    Notes                        Frequency              AWP              Frequency                         AWP          Frequency         AWP
Activities
Gym Membership                 Weekly Usage                         0                       0                                                0                              0
Walking/Bicycle Club           Weekly Attendance                    0                       0                                                0                              0
Adult Sports League            Weekly Attendance                    2                       8                                                0                              0
Cardio (Running/Walking)       Weekly Frequency                     0                       0                                                0                              0
Interval Cardio                Weekly Frequency                     0                       0                                                0                              0
Functional Core Exercises      Weekly Frequency                     0                       0                                                0                              0
Daily Postural Regimine        Weekly Frequency                     0                       0                                                0                              0
Aerobics/MA Classes            Weekly Frequency                     0                       0                                                0                              0
5K Participation/Marathon      Annual Frequency                     0                       0                                                0                              0
Dietary
Whole Food Supplements         Weekly Usage                         0                       0                                                0                              0
Cleansing/Toxicity Program     Weekly Usage                         0                       0                                                0                              0
Hydration/Water Intake         Daily 8 oz. Servings                 0                       0                                                0                              0
Raw Salt Intake                1/2 tsp. Servings per week           0                       0                                                0                              0
Fresh Fruits/Vegetables        Daily Servings                       1                     4.15                                               0                              0
Whole Grains                   Daily Servings                       1                      2.5                                               0                              0
White Meat (non-fried)         Daily Servings                       2                       5                                                0                              0
Associated Wellness
Chiropractor Visits            Weekly Frequency                     3                      45                                                0                              0
Wellness Program Part.         Monthly Frequency                    1                      15                                                0                              0
Sleep Habits                   Hours Per Night                      7                      28                                                0                              0
Mineral Balancing              Annual Frequency                     0                      0                                                 0                              0
Massage Therapy                Monthly Frequency                    0                      0                                                 0                              0
Planned Dietary Program        Weekly Frequency                     0                      0                                                 0                              0
Physical Examination           Annual Frequency                     1                      20                                                0                              0
Complete Blood Count Testing   Annual Frequency                     1                      15                                                0                              0
Blood Pressure Checks          Quarterly Frequency                  1                      5                                                 0                              0
Dental Wellness Assessment     Bi-Annual Frequency                  2                      15                                                0                              0
Vision/Optometry Wellness      Annual Frequency                     0                      0                                                 0                              0
Personal Trainer               Weekly Frequency                     0                      0                                                 0                              0
TOTAL                                                                                    162.65                                             0.00                           0.00


Critical Wellness Number Tracking
DATE:                                       1/0/1900             1/0/1900                1/0/1900               1/0/1900                1/0/1900      1/0/1900
Wellness Scale:                   217.84   #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
Wellness Scale Percent Change:             #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
WEIGHT:                            210        0         0         0         0         0
Weight Scale:                     229.41    600.00    600.00    600.00    600.00    600.00
Weight Percent Change:                     161.54%    0.00%     0.00%     0.00%     0.00%
BODY FAT PERCENTAGE:               23.6       0         0         0         0         0
BF% Scale:                        231.25    600.00    600.00    600.00    600.00    600.00
BF% Percent Change:                        159.46%    0.00%     0.00%     0.00%     0.00%
LEAN MUSCLE PERCENTAGE:            35.8       0         0         0         0         0
LMM% Scale:                       248.04   #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
LMM% Percent Change:                       #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
WELLNESS LIFESTYLE:               162.65    0.00      0.00      0.00      0.00      0.00
Lifestyle Scale Percent Change:            -100.00%   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
                   0.00         0.00
                  #DIV/0!      #DIV/0!




                   Platinum: 91-100%
                      Gold: 76-90%
                      Silver: 51-75%
                     Bronze: 26-50%
                       Blue: 0-25%




bics Classes…5K
rains
 C Testing
       1/0/1900                   1/0/1900                1/0/1900
Frequency         AWP          Frequency     AWP       Frequency     AWP


                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0

                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0

                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                        0.00                   0.00                    0.00
                                                                                  Wellness Works: Member Profile
                                 Name:            Dianne Black
                            Affiliation:   Chiro-Works Practice Member
                                Phone:           618 - 538 - 5457
                                 Email:            dblack@scu.org

Factual Overview                                                                     Wellness Dashboard
Name:                                             Dianne Black                       Date:
Gender:                                              Female                          Weight:                             191.4
Age (Years):                                            50                           Body Fat %                          41.1
Height (Inches):                                        65                           LMM%                                26.5
Ideal Weight (Pounds):                                 141                           Wellness Life:                     175.64                     0.00          0.00         0.00
Ideal Body Fat Percentage:                            28.6                           Wellness Scale:                    182.43                    #DIV/0!       #DIV/0!      #DIV/0!
Ideal Lean Muscle Mass Percent:                         36                           *For Wellness Lifestyle Scale, please see form on Page 3 of this Workbook.

                Wellness Gauge: Body Composition                                     Wellness Report Card
                       Ideal Body Fat::                28.6                                                                 Affiliation                            % Off Average
                      Actual Body Fat:                 41.1




                                                                                                  Your Standing:




                                                                                                                      17.60%
                   Ideal Muscle Mass:                   36




                                                                                                                                                 Bronze
                  Actual Muscle Mass:                  26.5

                                                                                                                                                                -18.92%
  60

  50

  40
                                                                    Muscle Mass
  30                                                                Body Fat         Comments and Suggestions:
  20

  10

   0
         Ideal Body Fat::     Actual Body Fat:

                              ACTIVITIES: Gym Membership..…Walking Club…..Cardio (Running/Walking)…..Interval Cardio…..Functional Core…..Daily Postural Regimine..…Aerobics Classes…5K
                                         DIETARY: Whole Food Supplements…..Cleansing/Toxicity…..Isagenix…..Hydration…..Raw Salt Intake…..Fresh Fruits/Veggies…..Whole Grains
                                    ASSOCIATED WELLNESS: Chiropractor Visits…..Sleep…..Mineral Balancing…..Massage Therapy…..Planned Dietary….Grocery Store Tour…..CBC Testing
                                                               Physical Exam..…Blood Pressure…..Dental Wellness…..Vision Wellness…..Personal Trainer
WELLNESS LIFESTYLE             DATE:                                    1/0/1900                                           1/0/1900                       1/0/1900
Description                    Notes                        Frequency              AWP              Frequency                         AWP          Frequency         AWP
Activities
Gym Membership                 Weekly Usage                         2                      20                                                0                              0
Walking/Bicycle Club           Weekly Attendance                    0                      0                                                 0                              0
Adult Sports League            Weekly Attendance                    0                      0                                                 0                              0
Cardio (Running/Walking)       Weekly Frequency                     2                      16                                                0                              0
Interval Cardio                Weekly Frequency                     0                      0                                                 0                              0
Functional Core Exercises      Weekly Frequency                     2                      20                                                0                              0
Daily Postural Regimine        Weekly Frequency                     0                      0                                                 0                              0
Aerobics/MA Classes            Weekly Frequency                     0                      0                                                 0                              0
5K Participation/Marathon      Annual Frequency                     0                      0                                                 0                              0
Dietary
Whole Food Supplements         Weekly Usage                         0                       0                                                0                              0
Cleansing/Toxicity Program     Weekly Usage                         0                       0                                                0                              0
Hydration/Water Intake         Daily 8 oz. Servings                 2                     6.64                                               0                              0
Raw Salt Intake                1/2 tsp. Servings per week           0                       0                                                0                              0
Fresh Fruits/Vegetables        Daily Servings                       0                       0                                                0                              0
Whole Grains                   Daily Servings                       1                      2.5                                               0                              0
White Meat (non-fried)         Daily Servings                       2                       5                                                0                              0
Associated Wellness
Chiropractor Visits            Weekly Frequency                     0                       0                                                0                              0
Wellness Program Part.         Monthly Frequency                    1                      15                                                0                              0
Sleep Habits                   Hours Per Night                      7                      28                                                0                              0
Mineral Balancing              Annual Frequency                     0                       0                                                0                              0
Massage Therapy                Monthly Frequency                    0                       0                                                0                              0
Planned Dietary Program        Weekly Frequency                     0                       0                                                0                              0
Physical Examination           Annual Frequency                     1                      20                                                0                              0
Complete Blood Count Testing   Annual Frequency                     1                      15                                                0                              0
Blood Pressure Checks          Quarterly Frequency                  1                       5                                                0                              0
Dental Wellness Assessment     Bi-Annual Frequency                  1                      7.5                                               0                              0
Vision/Optometry Wellness      Annual Frequency                     1                      15                                                0                              0
Personal Trainer               Weekly Frequency                     0                       0                                                0                              0
TOTAL                                                                                    175.64                                             0.00                           0.00


Critical Wellness Number Tracking
DATE:                                       1/0/1900             1/0/1900                1/0/1900               1/0/1900                1/0/1900      1/0/1900
Wellness Scale:                   182.43   #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
Wellness Scale Percent Change:             #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
WEIGHT:                            191.4      0         0         0         0         0
Weight Scale:                     192.77    600.00    600.00    600.00    600.00    600.00
Weight Percent Change:                     211.26%    0.00%     0.00%     0.00%     0.00%
BODY FAT PERCENTAGE:               41.1       0         0         0         0         0
BF% Scale:                        168.88    600.00    600.00    600.00    600.00    600.00
BF% Percent Change:                        255.28%    0.00%     0.00%     0.00%     0.00%
LEAN MUSCLE PERCENTAGE:            26.5       0         0         0         0         0
LMM% Scale:                       192.45   #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
LMM% Percent Change:                       #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
WELLNESS LIFESTYLE:               175.64    0.00      0.00      0.00      0.00      0.00
Lifestyle Scale Percent Change:            -100.00%   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
                   0.00         0.00
                  #DIV/0!      #DIV/0!




                   Platinum: 91-100%
                      Gold: 76-90%
                      Silver: 51-75%
                     Bronze: 26-50%
                       Blue: 0-25%




bics Classes…5K
rains
 C Testing
       1/0/1900                   1/0/1900                1/0/1900
Frequency         AWP          Frequency     AWP       Frequency     AWP


                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0

                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0

                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                        0.00                   0.00                    0.00
                                                                                   Wellness Works: Member Profile
                                 Name:             Julie Brown
                            Affiliation:   Chiro-Works Practice Member
                                Phone:           618 - 344 - 0135
                                 Email:          jbrown@kahoks.org

Factual Overview                                                                      Wellness Dashboard
Name:                                              Julie Brown                        Date:                            8/19/2011
Gender:                                              Female                           Weight:                             133
Age (Years):                                             43                           Body Fat %                           29
Height (Inches):                                         68                           LMM%                                 33
Ideal Weight (Pounds):                                  150                           Wellness Life:                     266.29                     0.00          0.00         0.00
Ideal Body Fat Percentage:                             27.4                           Wellness Scale:                    288.87                    #DIV/0!       #DIV/0!      #DIV/0!
Ideal Lean Muscle Mass Percent:                          36                           *For Wellness Lifestyle Scale, please see form on Page 3 of this Workbook.

                Wellness Gauge: Body Composition                                      Wellness Report Card
                       Ideal Body Fat::               27.4                                                                   Affiliation                            % Off Average
                      Actual Body Fat:                 29




                                                                                                   Your Standing:




                                                                                                                       88.20%
                   Ideal Muscle Mass:                  36




                                                                                                                                                  Bronze
                  Actual Muscle Mass:                  33

                                                                                                                                                                  28.39%
  60

  50

  40
                                                                     Muscle Mass
  30                                                                 Body Fat         Comments and Suggestions:
  20

  10

   0
         Ideal Body Fat::     Actual Body Fat:

                              ACTIVITIES: Gym Membership..…Walking Club…..Cardio (Running/Walking)…..Interval Cardio…..Functional Core…..Daily Postural Regimine..…Aerobics Classes…5K
                                         DIETARY: Whole Food Supplements…..Cleansing/Toxicity…..Isagenix…..Hydration…..Raw Salt Intake…..Fresh Fruits/Veggies…..Whole Grains
                                    ASSOCIATED WELLNESS: Chiropractor Visits…..Sleep…..Mineral Balancing…..Massage Therapy…..Planned Dietary….Grocery Store Tour…..CBC Testing
                                                               Physical Exam..…Blood Pressure…..Dental Wellness…..Vision Wellness…..Personal Trainer
WELLNESS LIFESTYLE             DATE:                                    8/19/2011                                           1/0/1900                       1/0/1900
Description                    Notes                        Frequency               AWP              Frequency                         AWP          Frequency         AWP
Activities
Gym Membership                 Weekly Usage                         0                       0                                                 0                              0
Walking/Bicycle Club           Weekly Attendance                    0                       0                                                 0                              0
Adult Sports League            Weekly Attendance                    0                       0                                                 0                              0
Cardio (Running/Walking)       Weekly Frequency                     3                       24                                                0                              0
Interval Cardio                Weekly Frequency                     5                       40                                                0                              0
Functional Core Exercises      Weekly Frequency                     5                       50                                                0                              0
Daily Postural Regimine        Weekly Frequency                     2                       16                                                0                              0
Aerobics/MA Classes            Weekly Frequency                     0                       0                                                 0                              0
5K Participation/Marathon      Annual Frequency                     0                       0                                                 0                              0
Dietary
Whole Food Supplements         Weekly Usage                         0                        0                                                0                              0
Cleansing/Toxicity Program     Weekly Usage                         0                        0                                                0                              0
Hydration/Water Intake         Daily 8 oz. Servings                 12                     39.84                                              0                              0
Raw Salt Intake                1/2 tsp. Servings per week           0                        0                                                0                              0
Fresh Fruits/Vegetables        Daily Servings                       3                      12.45                                              0                              0
Whole Grains                   Daily Servings                       0                        0                                                0                              0
White Meat (non-fried)         Daily Servings                       1                       2.5                                               0                              0
Associated Wellness
Chiropractor Visits            Weekly Frequency                     0                        0                                                0                              0
Wellness Program Part.         Monthly Frequency                    0                        0                                                0                              0
Sleep Habits                   Hours Per Night                      6                       24                                                0                              0
Mineral Balancing              Annual Frequency                     0                        0                                                0                              0
Massage Therapy                Monthly Frequency                    0                        0                                                0                              0
Planned Dietary Program        Weekly Frequency                     0                        0                                                0                              0
Physical Examination           Annual Frequency                     1                       20                                                0                              0
Complete Blood Count Testing   Annual Frequency                     1                       15                                                0                              0
Blood Pressure Checks          Quarterly Frequency                  0                        0                                                0                              0
Dental Wellness Assessment     Bi-Annual Frequency                  1                       7.5                                               0                              0
Vision/Optometry Wellness      Annual Frequency                     1                       15                                                0                              0
Personal Trainer               Weekly Frequency                     0                        0                                                0                              0
TOTAL                                                                                     266.29                                             0.00                           0.00


Critical Wellness Number Tracking
DATE:                                       8/19/2011            1/0/1900                 1/0/1900               1/0/1900                1/0/1900      1/0/1900
Wellness Scale:                   288.87   #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
Wellness Scale Percent Change:             #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
WEIGHT:                            133        0         0         0         0         0
Weight Scale:                     334.00    600.00    600.00    600.00    600.00    600.00
Weight Percent Change:                     79.64%     0.00%     0.00%     0.00%     0.00%
BODY FAT PERCENTAGE:                29        0         0         0         0         0
BF% Scale:                        282.48    600.00    600.00    600.00    600.00    600.00
BF% Percent Change:                        112.40%    0.00%     0.00%     0.00%     0.00%
LEAN MUSCLE PERCENTAGE:             33        0         0         0         0         0
LMM% Scale:                       272.73   #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
LMM% Percent Change:                       #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
WELLNESS LIFESTYLE:               266.29    0.00      0.00      0.00      0.00      0.00
Lifestyle Scale Percent Change:            -100.00%   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
                   0.00         0.00
                  #DIV/0!      #DIV/0!




                   Platinum: 91-100%
                      Gold: 76-90%
                      Silver: 51-75%
                     Bronze: 26-50%
                       Blue: 0-25%




bics Classes…5K
rains
 C Testing
       1/0/1900                   1/0/1900                1/0/1900
Frequency         AWP          Frequency     AWP       Frequency     AWP


                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0

                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0

                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                        0.00                   0.00                    0.00
                                                                               Wellness Works: Member Profile
                                 Name:           Sherry Morhaus
                            Affiliation:   Chiro-Works Practice Member
                                Phone:           618 - 973 - 9696
                                 Email:    sherry_morhaus@yahoo.com

Factual Overview                                                                   Wellness Dashboard
Name:                                            Sherry Morhaus                    Date:                            8/29/2011
Gender:                                              Female                        Weight:                             143
Age (Years):                                            54                         Body Fat %                          34.5
Height (Inches):                                        62                         LMM%                                 29
Ideal Weight (Pounds):                                 132                         Wellness Life:                     221.30                     0.00          0.00         0.00
Ideal Body Fat Percentage:                            29.3                         Wellness Scale:                    242.66                    #DIV/0!       #DIV/0!      #DIV/0!
Ideal Lean Muscle Mass Percent:                         36                         *For Wellness Lifestyle Scale, please see form on Page 3 of this Workbook.

                Wellness Gauge: Body Composition                                   Wellness Report Card
                       Ideal Body Fat::               29.3                                                                Affiliation                            % Off Average
                      Actual Body Fat:                34.5




                                                                                                Your Standing:




                                                                                                                    64.70%
                   Ideal Muscle Mass:                  36




                                                                                                                                               Bronze
                  Actual Muscle Mass:                  29

                                                                                                                                                                 7.85%
  60

  50

  40
                                                                 Muscle Mass
  30                                                             Body Fat          Comments and Suggestions:
  20

  10

   0
         Ideal Body Fat::     Actual Body Fat:

                              ACTIVITIES: Gym Membership..…Walking Club…..Cardio (Running/Walking)…..Interval Cardio…..Functional Core…..Daily Postural Regimine..…Aerobics Classes…5K
                                         DIETARY: Whole Food Supplements…..Cleansing/Toxicity…..Isagenix…..Hydration…..Raw Salt Intake…..Fresh Fruits/Veggies…..Whole Grains
                                    ASSOCIATED WELLNESS: Chiropractor Visits…..Sleep…..Mineral Balancing…..Massage Therapy…..Planned Dietary….Grocery Store Tour…..CBC Testing
                                                               Physical Exam..…Blood Pressure…..Dental Wellness…..Vision Wellness…..Personal Trainer
WELLNESS LIFESTYLE             DATE:                                    8/29/2011                                           1/0/1900                       1/0/1900
Description                    Notes                        Frequency               AWP              Frequency                         AWP          Frequency         AWP
Activities
Gym Membership                 Weekly Usage                         3                       30                                                0                              0
Walking/Bicycle Club           Weekly Attendance                    0                       0                                                 0                              0
Adult Sports League            Weekly Attendance                    0                       0                                                 0                              0
Cardio (Running/Walking)       Weekly Frequency                     3                       24                                                0                              0
Interval Cardio                Weekly Frequency                     3                       24                                                0                              0
Functional Core Exercises      Weekly Frequency                     0                       0                                                 0                              0
Daily Postural Regimine        Weekly Frequency                     0                       0                                                 0                              0
Aerobics/MA Classes            Weekly Frequency                     0                       0                                                 0                              0
5K Participation/Marathon      Annual Frequency                     0                       0                                                 0                              0
Dietary
Whole Food Supplements         Weekly Usage                         0                        0                                                0                              0
Cleansing/Toxicity Program     Weekly Usage                         0                        0                                                0                              0
Hydration/Water Intake         Daily 8 oz. Servings                 0                        0                                                0                              0
Raw Salt Intake                1/2 tsp. Servings per week           0                        0                                                0                              0
Fresh Fruits/Vegetables        Daily Servings                       2                       8.3                                               0                              0
Whole Grains                   Daily Servings                       0                        0                                                0                              0
White Meat (non-fried)         Daily Servings                       2                        5                                                0                              0
Associated Wellness
Chiropractor Visits            Weekly Frequency                     0                       0                                                 0                              0
Wellness Program Part.         Monthly Frequency                    1                       15                                                0                              0
Sleep Habits                   Hours Per Night                      8                       32                                                0                              0
Mineral Balancing              Annual Frequency                     0                       0                                                 0                              0
Massage Therapy                Monthly Frequency                    0                       0                                                 0                              0
Planned Dietary Program        Weekly Frequency                     7                       28                                                0                              0
Physical Examination           Annual Frequency                     1                       20                                                0                              0
Complete Blood Count Testing   Annual Frequency                     1                       15                                                0                              0
Blood Pressure Checks          Quarterly Frequency                  1                       5                                                 0                              0
Dental Wellness Assessment     Bi-Annual Frequency                  2                       15                                                0                              0
Vision/Optometry Wellness      Annual Frequency                     0                       0                                                 0                              0
Personal Trainer               Weekly Frequency                     0                       0                                                 0                              0
TOTAL                                                                                     221.30                                             0.00                           0.00


Critical Wellness Number Tracking
DATE:                                       8/29/2011            1/0/1900                 1/0/1900               1/0/1900                1/0/1900      1/0/1900
Wellness Scale:                   242.66   #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
Wellness Scale Percent Change:             #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
WEIGHT:                            143        0         0         0         0         0
Weight Scale:                     275.00    600.00    600.00    600.00    600.00    600.00
Weight Percent Change:                     118.18%    0.00%     0.00%     0.00%     0.00%
BODY FAT PERCENTAGE:               34.5       0         0         0         0         0
BF% Scale:                        246.76    600.00    600.00    600.00    600.00    600.00
BF% Percent Change:                        143.15%    0.00%     0.00%     0.00%     0.00%
LEAN MUSCLE PERCENTAGE:             29        0         0         0         0         0
LMM% Scale:                       227.59   #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
LMM% Percent Change:                       #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
WELLNESS LIFESTYLE:               221.30    0.00      0.00      0.00      0.00      0.00
Lifestyle Scale Percent Change:            -100.00%   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
                   0.00         0.00
                  #DIV/0!      #DIV/0!




                   Platinum: 91-100%
                      Gold: 76-90%
                      Silver: 51-75%
                     Bronze: 26-50%
                       Blue: 0-25%




bics Classes…5K
rains
 C Testing
       1/0/1900                   1/0/1900                1/0/1900
Frequency         AWP          Frequency     AWP       Frequency     AWP


                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0

                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0

                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                        0.00                   0.00                    0.00
                                                                               Wellness Works: Member Profile
                                 Name:            Kim Martin
                            Affiliation:   Chiro-Works Practice Member
                                Phone:           618-258-4829
                                 Email:      kimscotnlv@yahoo.com

Factual Overview                                                                   Wellness Dashboard
Name:                                             Kim Martin                       Date:
Gender:                                             Female                         Weight:                             142.6
Age (Years):                                          46                           Body Fat %                          31.5
Height (Inches):                                     67.5                          LMM%                                28.7
Ideal Weight (Pounds):                               142.6                         Wellness Life:                     396.80                     0.00          0.00         0.00
Ideal Body Fat Percentage:                           28.6                          Wellness Scale:                    297.52                    #DIV/0!       #DIV/0!      #DIV/0!
Ideal Lean Muscle Mass Percent:                       36                           *For Wellness Lifestyle Scale, please see form on Page 3 of this Workbook.

                Wellness Gauge: Body Composition                                   Wellness Report Card
                       Ideal Body Fat::              28.6                                                                 Affiliation                            % Off Average
                      Actual Body Fat:               31.5




                                                                                                Your Standing:




                                                                                                                    94.10%
                   Ideal Muscle Mass:                 36




                                                                                                                                               Bronze
                  Actual Muscle Mass:                28.7

                                                                                                                                                               32.23%
  60

  50

  40
                                                                 Muscle Mass
  30                                                             Body Fat          Comments and Suggestions:
  20

  10

   0
         Ideal Body Fat::     Actual Body Fat:

                              ACTIVITIES: Gym Membership..…Walking Club…..Cardio (Running/Walking)…..Interval Cardio…..Functional Core…..Daily Postural Regimine..…Aerobics Classes…5K
                                         DIETARY: Whole Food Supplements…..Cleansing/Toxicity…..Isagenix…..Hydration…..Raw Salt Intake…..Fresh Fruits/Veggies…..Whole Grains
                                    ASSOCIATED WELLNESS: Chiropractor Visits…..Sleep…..Mineral Balancing…..Massage Therapy…..Planned Dietary….Grocery Store Tour…..CBC Testing
                                                               Physical Exam..…Blood Pressure…..Dental Wellness…..Vision Wellness…..Personal Trainer
WELLNESS LIFESTYLE             DATE:                                    1/0/1900                                           1/0/1900                       1/0/1900
Description                    Notes                        Frequency              AWP              Frequency                         AWP          Frequency         AWP
Activities
Gym Membership                 Weekly Usage                         2                      20                                                0                              0
Walking/Bicycle Club           Weekly Attendance                    0                      0                                                 0                              0
Adult Sports League            Weekly Attendance                    0                      0                                                 0                              0
Cardio (Running/Walking)       Weekly Frequency                     1                      8                                                 0                              0
Interval Cardio                Weekly Frequency                     2                      16                                                0                              0
Functional Core Exercises      Weekly Frequency                     2                      20                                                0                              0
Daily Postural Regimine        Weekly Frequency                     3                      24                                                0                              0
Aerobics/MA Classes            Weekly Frequency                     2                      18                                                0                              0
5K Participation/Marathon      Annual Frequency                     0                      0                                                 0                              0
Dietary
Whole Food Supplements         Weekly Usage                         5                      45                                                0                              0
Cleansing/Toxicity Program     Weekly Usage                         0                       0                                                0                              0
Hydration/Water Intake         Daily 8 oz. Servings                 10                    33.2                                               0                              0
Raw Salt Intake                1/2 tsp. Servings per week           5                      30                                                0                              0
Fresh Fruits/Vegetables        Daily Servings                       4                     16.6                                               0                              0
Whole Grains                   Daily Servings                       3                      7.5                                               0                              0
White Meat (non-fried)         Daily Servings                       3                      7.5                                               0                              0
Associated Wellness
Chiropractor Visits            Weekly Frequency                     2                      30                                                0                              0
Wellness Program Part.         Monthly Frequency                    0                      0                                                 0                              0
Sleep Habits                   Hours Per Night                      8                      32                                                0                              0
Mineral Balancing              Annual Frequency                     1                      15                                                0                              0
Massage Therapy                Monthly Frequency                    0                      0                                                 0                              0
Planned Dietary Program        Weekly Frequency                     1                      4                                                 0                              0
Physical Examination           Annual Frequency                     1                      20                                                0                              0
Complete Blood Count Testing   Annual Frequency                     1                      15                                                0                              0
Blood Pressure Checks          Quarterly Frequency                  1                      5                                                 0                              0
Dental Wellness Assessment     Bi-Annual Frequency                  2                      15                                                0                              0
Vision/Optometry Wellness      Annual Frequency                     1                      15                                                0                              0
Personal Trainer               Weekly Frequency                     0                      0                                                 0                              0
TOTAL                                                                                    396.80                                             0.00                           0.00


Critical Wellness Number Tracking
DATE:                                       1/0/1900             1/0/1900                1/0/1900               1/0/1900                1/0/1900      1/0/1900
Wellness Scale:                   297.52   #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
Wellness Scale Percent Change:             #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
WEIGHT:                            142.6      0         0         0         0         0
Weight Scale:                     300.00    600.00    600.00    600.00    600.00    600.00
Weight Percent Change:                     100.00%    0.00%     0.00%     0.00%     0.00%
BODY FAT PERCENTAGE:               31.5       0         0         0         0         0
BF% Scale:                        269.58    600.00    600.00    600.00    600.00    600.00
BF% Percent Change:                        122.57%    0.00%     0.00%     0.00%     0.00%
LEAN MUSCLE PERCENTAGE:            28.7       0         0         0         0         0
LMM% Scale:                       223.69   #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
LMM% Percent Change:                       #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
WELLNESS LIFESTYLE:               396.80    0.00      0.00      0.00      0.00      0.00
Lifestyle Scale Percent Change:            -100.00%   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
                   0.00         0.00
                  #DIV/0!      #DIV/0!




                   Platinum: 91-100%
                      Gold: 76-90%
                      Silver: 51-75%
                     Bronze: 26-50%
                       Blue: 0-25%




bics Classes…5K
rains
 C Testing
       1/0/1900                   1/0/1900                1/0/1900
Frequency         AWP          Frequency     AWP       Frequency     AWP


                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0

                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0

                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                        0.00                   0.00                    0.00
                                                                                Wellness Works: Member Profile
                                 Name:       Jessica Stephenson
                            Affiliation:    Chiro-Works Practice Member
                                Phone:           618.334.4346
                                 Email:    jstephenson122605@yahoo.com

Factual Overview                                                                   Wellness Dashboard
Name:                                        Jessica Stephenson                    Date:
Gender:                                            Female                          Weight:                             228.2
Age (Years):                                          28                           Body Fat %                           52
Height (Inches):                                      66                           LMM%                                21.3
Ideal Weight (Pounds):                               147                           Wellness Life:                     240.32                     0.00          0.00         0.00
Ideal Body Fat Percentage:                           24.5                          Wellness Scale:                    107.71                    #DIV/0!       #DIV/0!      #DIV/0!
Ideal Lean Muscle Mass Percent:                       36                           *For Wellness Lifestyle Scale, please see form on Page 3 of this Workbook.

                Wellness Gauge: Body Composition                                   Wellness Report Card
                       Ideal Body Fat::               24.5                                                                Affiliation                            % Off Average
                      Actual Body Fat:                 52




                                                                                                Your Standing:
                   Ideal Muscle Mass:                  36




                                                                                                                                               Bronze
                                                                                                                    0.00%
                  Actual Muscle Mass:                 21.3

                                                                                                                                                              -52.13%
  60

  50

  40
                                                                  Muscle Mass
  30                                                              Body Fat         Comments and Suggestions:
  20

  10

   0
         Ideal Body Fat::     Actual Body Fat:

                              ACTIVITIES: Gym Membership..…Walking Club…..Cardio (Running/Walking)…..Interval Cardio…..Functional Core…..Daily Postural Regimine..…Aerobics Classes…5K
                                         DIETARY: Whole Food Supplements…..Cleansing/Toxicity…..Isagenix…..Hydration…..Raw Salt Intake…..Fresh Fruits/Veggies…..Whole Grains
                                    ASSOCIATED WELLNESS: Chiropractor Visits…..Sleep…..Mineral Balancing…..Massage Therapy…..Planned Dietary….Grocery Store Tour…..CBC Testing
                                                               Physical Exam..…Blood Pressure…..Dental Wellness…..Vision Wellness…..Personal Trainer
WELLNESS LIFESTYLE             DATE:                                    1/0/1900                                           1/0/1900                       1/0/1900
Description                    Notes                        Frequency              AWP              Frequency                         AWP          Frequency         AWP
Activities
Gym Membership                 Weekly Usage                         0                      0                                                 0                              0
Walking/Bicycle Club           Weekly Attendance                   2.5                    12.5                                               0                              0
Adult Sports League            Weekly Attendance                    0                      0                                                 0                              0
Cardio (Running/Walking)       Weekly Frequency                     0                      0                                                 0                              0
Interval Cardio                Weekly Frequency                    1.5                     12                                                0                              0
Functional Core Exercises      Weekly Frequency                     0                      0                                                 0                              0
Daily Postural Regimine        Weekly Frequency                     3                      24                                                0                              0
Aerobics/MA Classes            Weekly Frequency                     0                      0                                                 0                              0
5K Participation/Marathon      Annual Frequency                     1                      6                                                 0                              0
Dietary
Whole Food Supplements         Weekly Usage                         0                       0                                                0                              0
Cleansing/Toxicity Program     Weekly Usage                         0                       0                                                0                              0
Hydration/Water Intake         Daily 8 oz. Servings                 11                    36.52                                              0                              0
Raw Salt Intake                1/2 tsp. Servings per week           0                       0                                                0                              0
Fresh Fruits/Vegetables        Daily Servings                       2                      8.3                                               0                              0
Whole Grains                   Daily Servings                       3                      7.5                                               0                              0
White Meat (non-fried)         Daily Servings                       2                       5                                                0                              0
Associated Wellness
Chiropractor Visits            Weekly Frequency                     0                       0                                                0                              0
Wellness Program Part.         Monthly Frequency                    1                      15                                                0                              0
Sleep Habits                   Hours Per Night                      8                      32                                                0                              0
Mineral Balancing              Annual Frequency                     0                       0                                                0                              0
Massage Therapy                Monthly Frequency                    0                       0                                                0                              0
Planned Dietary Program        Weekly Frequency                     3                      12                                                0                              0
Physical Examination           Annual Frequency                     1                      20                                                0                              0
Complete Blood Count Testing   Annual Frequency                     1                      15                                                0                              0
Blood Pressure Checks          Quarterly Frequency                  1                       5                                                0                              0
Dental Wellness Assessment     Bi-Annual Frequency                  1                      7.5                                               0                              0
Vision/Optometry Wellness      Annual Frequency                     1                      15                                                0                              0
Personal Trainer               Weekly Frequency                     1                       7                                                0                              0
TOTAL                                                                                    240.32                                             0.00                           0.00


Critical Wellness Number Tracking
DATE:                                       1/0/1900             1/0/1900                1/0/1900               1/0/1900                1/0/1900      1/0/1900
Wellness Scale:                   107.71    #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
Wellness Scale Percent Change:              #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
WEIGHT:                            228.2      0          0         0         0         0
Weight Scale:                     134.29    600.00     600.00    600.00    600.00    600.00
Weight Percent Change:                     346.81%     0.00%     0.00%     0.00%     0.00%
BODY FAT PERCENTAGE:                52        0          0         0         0         0
BF% Scale:                        -36.73    600.00     600.00    600.00    600.00    600.00
BF% Percent Change:                        -1733.33%   0.00%     0.00%     0.00%     0.00%
LEAN MUSCLE PERCENTAGE:           21.3        0          0         0         0         0
LMM% Scale:                       92.96     #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
LMM% Percent Change:                        #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
WELLNESS LIFESTYLE:               240.32    0.00       0.00      0.00      0.00      0.00
Lifestyle Scale Percent Change:            -100.00%    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
                   0.00         0.00
                  #DIV/0!      #DIV/0!




                   Platinum: 91-100%
                      Gold: 76-90%
                      Silver: 51-75%
                     Bronze: 26-50%
                       Blue: 0-25%




bics Classes…5K
rains
 C Testing
       1/0/1900                   1/0/1900                1/0/1900
Frequency         AWP          Frequency     AWP       Frequency     AWP


                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0

                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0

                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                        0.00                   0.00                    0.00
                                                                               Wellness Works: Member Profile
                                 Name:       Michael Matthews
                            Affiliation:   Chiro-Works Practice Member
                                Phone:           618.447.4862
                                 Email:      ladofone_04@yahoo.com

Factual Overview                                                                   Wellness Dashboard
Name:                                        Michael Matthews                      Date:                            8/29/2011
Gender:                                            Male                            Weight:                             191.6
Age (Years):                                        30                             Body Fat %                           22
Height (Inches):                                    72                             LMM%                                37.9
Ideal Weight (Pounds):                             170                             Wellness Life:                     228.99                     0.00          0.00         0.00
Ideal Body Fat Percentage:                         16.1                            Wellness Scale:                    237.12                    #DIV/0!       #DIV/0!      #DIV/0!
Ideal Lean Muscle Mass Percent:                     42                             *For Wellness Lifestyle Scale, please see form on Page 3 of this Workbook.

                Wellness Gauge: Body Composition                                   Wellness Report Card
                       Ideal Body Fat::              16.1                                                                 Affiliation                            % Off Average
                      Actual Body Fat:                22




                                                                                                Your Standing:




                                                                                                                    58.80%
                   Ideal Muscle Mass:                 42




                                                                                                                                               Bronze
                  Actual Muscle Mass:                37.9

                                                                                                                                                                 5.39%
  60

  50

  40
                                                                 Muscle Mass
  30                                                             Body Fat          Comments and Suggestions:
  20

  10

   0
         Ideal Body Fat::     Actual Body Fat:

                              ACTIVITIES: Gym Membership..…Walking Club…..Cardio (Running/Walking)…..Interval Cardio…..Functional Core…..Daily Postural Regimine..…Aerobics Classes…5K
                                         DIETARY: Whole Food Supplements…..Cleansing/Toxicity…..Isagenix…..Hydration…..Raw Salt Intake…..Fresh Fruits/Veggies…..Whole Grains
                                    ASSOCIATED WELLNESS: Chiropractor Visits…..Sleep…..Mineral Balancing…..Massage Therapy…..Planned Dietary….Grocery Store Tour…..CBC Testing
                                                               Physical Exam..…Blood Pressure…..Dental Wellness…..Vision Wellness…..Personal Trainer
WELLNESS LIFESTYLE             DATE:                                    8/29/2011                                           1/0/1900                       1/0/1900
Description                    Notes                        Frequency               AWP              Frequency                         AWP          Frequency         AWP
Activities
Gym Membership                 Weekly Usage                         0                       0                                                 0                              0
Walking/Bicycle Club           Weekly Attendance                    0                       0                                                 0                              0
Adult Sports League            Weekly Attendance                    1                       4                                                 0                              0
Cardio (Running/Walking)       Weekly Frequency                     0                       0                                                 0                              0
Interval Cardio                Weekly Frequency                     1                       8                                                 0                              0
Functional Core Exercises      Weekly Frequency                     3                       30                                                0                              0
Daily Postural Regimine        Weekly Frequency                     0                       0                                                 0                              0
Aerobics/MA Classes            Weekly Frequency                     0                       0                                                 0                              0
5K Participation/Marathon      Annual Frequency                     0                       0                                                 0                              0
Dietary
Whole Food Supplements         Weekly Usage                         0                        0                                                0                              0
Cleansing/Toxicity Program     Weekly Usage                         0                        0                                                0                              0
Hydration/Water Intake         Daily 8 oz. Servings                 12                     39.84                                              0                              0
Raw Salt Intake                1/2 tsp. Servings per week           0                        0                                                0                              0
Fresh Fruits/Vegetables        Daily Servings                       1                      4.15                                               0                              0
Whole Grains                   Daily Servings                       3                       7.5                                               0                              0
White Meat (non-fried)         Daily Servings                       2                        5                                                0                              0
Associated Wellness
Chiropractor Visits            Weekly Frequency                     2                       30                                                0                              0
Wellness Program Part.         Monthly Frequency                    1                       15                                                0                              0
Sleep Habits                   Hours Per Night                      6                       24                                                0                              0
Mineral Balancing              Annual Frequency                     0                        0                                                0                              0
Massage Therapy                Monthly Frequency                    1                       10                                                0                              0
Planned Dietary Program        Weekly Frequency                     1                        4                                                0                              0
Physical Examination           Annual Frequency                     1                       20                                                0                              0
Complete Blood Count Testing   Annual Frequency                     1                       15                                                0                              0
Blood Pressure Checks          Quarterly Frequency                  1                        5                                                0                              0
Dental Wellness Assessment     Bi-Annual Frequency                  1                       7.5                                               0                              0
Vision/Optometry Wellness      Annual Frequency                     0                        0                                                0                              0
Personal Trainer               Weekly Frequency                     0                        0                                                0                              0
TOTAL                                                                                     228.99                                             0.00                           0.00


Critical Wellness Number Tracking
DATE:                                       8/29/2011            1/0/1900                 1/0/1900               1/0/1900                1/0/1900      1/0/1900
Wellness Scale:                   237.12   #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
Wellness Scale Percent Change:             #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
WEIGHT:                            191.6      0         0         0         0         0
Weight Scale:                     261.88    600.00    600.00    600.00    600.00    600.00
Weight Percent Change:                     129.11%    0.00%     0.00%     0.00%     0.00%
BODY FAT PERCENTAGE:                22        0         0         0         0         0
BF% Scale:                        190.06    600.00    600.00    600.00    600.00    600.00
BF% Percent Change:                        215.69%    0.00%     0.00%     0.00%     0.00%
LEAN MUSCLE PERCENTAGE:            37.9       0         0         0         0         0
LMM% Scale:                       267.55   #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
LMM% Percent Change:                       #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
WELLNESS LIFESTYLE:               228.99    0.00      0.00      0.00      0.00      0.00
Lifestyle Scale Percent Change:            -100.00%   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
                   0.00         0.00
                  #DIV/0!      #DIV/0!




                   Platinum: 91-100%
                      Gold: 76-90%
                      Silver: 51-75%
                     Bronze: 26-50%
                       Blue: 0-25%




bics Classes…5K
rains
 C Testing
       1/0/1900                   1/0/1900                1/0/1900
Frequency         AWP          Frequency     AWP       Frequency     AWP


                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0

                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0

                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                         0                         0                       0
                        0.00                   0.00                    0.00
                                                                                WellCheck: Member Profile
                                 Name:           Eric Wolters
                            Affiliation:   Chiro-Works Practice Member
                                Phone:           618.779.8357
                                 Email:          wolt29@aol.com

Factual Overview                                                                      Wellness Dashboard
Name:                                            Eric Wolters                         Date:               7/28/2011
Gender:                                              Male                             Weight:                 176
Age (Years):                                          34                              Body Fat %              13.4
Height (Inches):                                     71.5                             LMM%                    42.3
Ideal Weight (Pounds):                                168                             Wellness Life:        317.09
Ideal Body Fat Percentage:                           16.7                             Wellness Scale:       316.05
Ideal Lean Muscle Mass Percent:                       42                              *For Wellness Lifestyle Scale, please see form on Page 3 of this Workbook.

                Wellness Gauge: Body Composition                                      Wellness Report Card
                       Ideal Body Fat::              16.7                                                                Affiliation         % Off Average
                      Actual Body Fat:               13.4                                                                                                          Platinum: 91-100%




                                                                                                   Your Standing:

                                                                                                                    100.00%
                   Ideal Muscle Mass:                 42                                                                                                              Gold: 76-90%




                                                                                                                                   Bronze
                  Actual Muscle Mass:                42.3                                                                                                             Silver: 51-75%

                                                                                                                                            40.47%                   Bronze: 26-50%
                                                                                                                                                                       Blue: 0-25%
  60

  50

  40
                                                                  Muscle Mass
  30                                                              Body Fat            Comments and Suggestions:
  20

  10

   0
         Ideal Body Fat::     Actual Body Fat:

                 ACTIVITIES: Gym Membership..…Walking Club…..Cardio (Running/Walking)…..Interval Cardio…..Functional Core…..Daily Postural Regimine..…Aerobics Classes…5K
                            DIETARY: Whole Food Supplements…..Cleansing/Toxicity…..Isagenix…..Hydration…..Raw Salt Intake…..Fresh Fruits/Veggies…..Whole Grains
                       ASSOCIATED WELLNESS: Chiropractor Visits…..Sleep…..Mineral Balancing…..Massage Therapy…..Planned Dietary….Grocery Store Tour…..CBC Testing
                                                  Physical Exam..…Blood Pressure…..Dental Wellness…..Vision Wellness…..Personal Trainer
WELLNESS LIFESTYLE               DATE:                                    7/28/2011                         1/0/1900                          1/0/1900                       1/0/1900
Description                      Notes                        Frequency               AWP              Frequency       AWP             Frequency         AWP          Frequency         AWP
Activities
Gym Membership                   Weekly Usage                         0                        0                               0                                0                              0
Walking/Bicycle Club             Weekly Attendance                    0                        0                               0                                0                              0
Adult Sports League              Weekly Attendance                    1                        4                               0                                0                              0
Cardio (Running/Walking)         Weekly Frequency                     0                        0                               0                                0                              0
Interval Cardio                  Weekly Frequency                     0                        0                               0                                0                              0
Functional Core Exercises        Weekly Frequency                     0                        0                               0                                0                              0
Daily Postural Regimine          Weekly Frequency                     3                       24                               0                                0                              0
Aerobics/MA Classes              Weekly Frequency                     0                        0                               0                                0                              0
5K Participation/Marathon        Annual Frequency                     0                        0                               0                                0                              0
Dietary
Whole Food Supplements           Weekly Usage                         5                       45                               0                                0                              0
Cleansing/Toxicity Program       Weekly Usage                         1                        8                               0                                0                              0
Hydration/Water Intake           Daily 8 oz. Servings                 12                     39.84                             0                                0                              0
Raw Salt Intake                  1/2 tsp. Servings per week           5                       30                               0                                0                              0
Fresh Fruits/Vegetables          Daily Servings                       5                      20.75                             0                                0                              0
Whole Grains                     Daily Servings                       3                       7.5                              0                                0                              0
White Meat (non-fried)           Daily Servings                       2                        5                               0                                0                              0
Associated Wellness
Chiropractor Visits              Weekly Frequency                     3                       45                               0                                0                              0
Wellness Program Part.           Monthly Frequency                    0                        0                               0                                0                              0
Sleep Habits                     Hours Per Night                      7                       28                               0                                0                              0
Mineral Balancing                Annual Frequency                     0                        0                               0                                0                              0
Massage Therapy                  Monthly Frequency                    0                        0                               0                                0                              0
Planned Dietary Program          Weekly Frequency                     5                       20                               0                                0                              0
Physical Examination             Annual Frequency                     1                       20                               0                                0                              0
Complete Blood Count Testing     Annual Frequency                     0                        0                               0                                0                              0
Blood Pressure Checks            Quarterly Frequency                  1                        5                               0                                0                              0
Dental Wellness Assessment       Bi-Annual Frequency                  2                       15                               0                                0                              0
Vision/Optometry Wellness        Annual Frequency                     0                        0                               0                                0                              0
Personal Trainer                 Weekly Frequency                     0                        0                               0                                0                              0
TOTAL                                                                                       317.09                           0.00                              0.00                           0.00


Critical Wellness Number Tracking
DATE:                                        7/28/2011             1/0/1900                 1/0/1900     1/0/1900        1/0/1900         1/0/1900
Wellness Scale:                                316.05               #DIV/0!                  #DIV/0!      #DIV/0!            #DIV/0!       #DIV/0!
Wellness Scale Percent Change:                                      #DIV/0!                  #DIV/0!      #DIV/0!            #DIV/0!       #DIV/0!
WEIGHT:                                          176                  0                        0             0                 0              0
Weight Scale:                     285.71    600.00    600.00    600.00    600.00    600.00
Weight Percent Change:                     110.00%    0.00%     0.00%     0.00%     0.00%
BODY FAT PERCENTAGE:               13.4       0         0         0         0         0
BF% Scale:                        359.28    600.00    600.00    600.00    600.00    600.00
BF% Percent Change:                        67.00%     0.00%     0.00%     0.00%     0.00%
LEAN MUSCLE PERCENTAGE:            42.3       0         0         0         0         0
LMM% Scale:                       302.13   #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
LMM% Percent Change:                       #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
WELLNESS LIFESTYLE:               317.09    0.00      0.00      0.00      0.00      0.00
Lifestyle Scale Percent Change:            -100.00%   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
   1/0/1900                1/0/1900
Frequency     AWP       Frequency     AWP


                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0

                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0

                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                0.00                    0.00
                                                                               WellCheck: Member Profile
                                 Name:           Mike Mueller
                            Affiliation:   Chiro-Works Practice Member
                                Phone:                 0
                                 Email:                0

Factual Overview                                                                     Wellness Dashboard
Name:                                            Mike Mueller                        Date:               7/28/2011
Gender:                                             Male                             Weight:                 245
Age (Years):                                          63                             Body Fat %              31.8
Height (Inches):                                      70                             LMM%                    29.9
Ideal Weight (Pounds):                               182                             Wellness Life:        203.89
Ideal Body Fat Percentage:                           24.5                            Wellness Scale:       197.31
Ideal Lean Muscle Mass Percent:                       42                             *For Wellness Lifestyle Scale, please see form on Page 3 of this Workbook.

                Wellness Gauge: Body Composition                                     Wellness Report Card
                       Ideal Body Fat::              24.5                                                               Affiliation         % Off Average
                      Actual Body Fat:               31.8                                                                                                         Platinum: 91-100%




                                                                                                  Your Standing:

                                                                                                                   29.40%
                   Ideal Muscle Mass:                 42                                                                                                             Gold: 76-90%




                                                                                                                                  Bronze
                  Actual Muscle Mass:                29.9                                                                                                            Silver: 51-75%

                                                                                                                                           -12.31%                  Bronze: 26-50%
                                                                                                                                                                      Blue: 0-25%
  60

  50

  40
                                                                 Muscle Mass
  30                                                             Body Fat            Comments and Suggestions:
  20

  10

   0
         Ideal Body Fat::     Actual Body Fat:

                 ACTIVITIES: Gym Membership..…Walking Club…..Cardio (Running/Walking)…..Interval Cardio…..Functional Core…..Daily Postural Regimine..…Aerobics Classes…5K
                            DIETARY: Whole Food Supplements…..Cleansing/Toxicity…..Isagenix…..Hydration…..Raw Salt Intake…..Fresh Fruits/Veggies…..Whole Grains
                       ASSOCIATED WELLNESS: Chiropractor Visits…..Sleep…..Mineral Balancing…..Massage Therapy…..Planned Dietary….Grocery Store Tour…..CBC Testing
                                                  Physical Exam..…Blood Pressure…..Dental Wellness…..Vision Wellness…..Personal Trainer
WELLNESS LIFESTYLE               DATE:                                    7/28/2011                         1/0/1900                          1/0/1900                       1/0/1900
Description                      Notes                        Frequency               AWP              Frequency       AWP             Frequency         AWP          Frequency         AWP
Activities
Gym Membership                   Weekly Usage                         0                        0                               0                                0                              0
Walking/Bicycle Club             Weekly Attendance                    0                        0                               0                                0                              0
Adult Sports League              Weekly Attendance                    0                        0                               0                                0                              0
Cardio (Running/Walking)         Weekly Frequency                     0                        0                               0                                0                              0
Interval Cardio                  Weekly Frequency                     0                        0                               0                                0                              0
Functional Core Exercises        Weekly Frequency                     0                        0                               0                                0                              0
Daily Postural Regimine          Weekly Frequency                     3                       24                               0                                0                              0
Aerobics/MA Classes              Weekly Frequency                     0                        0                               0                                0                              0
5K Participation/Marathon        Annual Frequency                     0                        0                               0                                0                              0
Dietary
Whole Food Supplements           Weekly Usage                         0                        0                               0                                0                              0
Cleansing/Toxicity Program       Weekly Usage                         0                        0                               0                                0                              0
Hydration/Water Intake           Daily 8 oz. Servings                 7                      23.24                             0                                0                              0
Raw Salt Intake                  1/2 tsp. Servings per week           5                       30                               0                                0                              0
Fresh Fruits/Vegetables          Daily Servings                       1                      4.15                              0                                0                              0
Whole Grains                     Daily Servings                       0                        0                               0                                0                              0
White Meat (non-fried)           Daily Servings                       2                        5                               0                                0                              0
Associated Wellness
Chiropractor Visits              Weekly Frequency                     0                        0                               0                                0                              0
Wellness Program Part.           Monthly Frequency                    1                       15                               0                                0                              0
Sleep Habits                     Hours Per Night                      7                       28                               0                                0                              0
Mineral Balancing                Annual Frequency                     0                        0                               0                                0                              0
Massage Therapy                  Monthly Frequency                    0                        0                               0                                0                              0
Planned Dietary Program          Weekly Frequency                     3                       12                               0                                0                              0
Physical Examination             Annual Frequency                     1                       20                               0                                0                              0
Complete Blood Count Testing     Annual Frequency                     1                       15                               0                                0                              0
Blood Pressure Checks            Quarterly Frequency                  1                        5                               0                                0                              0
Dental Wellness Assessment       Bi-Annual Frequency                  2                       15                               0                                0                              0
Vision/Optometry Wellness        Annual Frequency                    0.5                      7.5                              0                                0                              0
Personal Trainer                 Weekly Frequency                     0                        0                               0                                0                              0
TOTAL                                                                                       203.89                           0.00                              0.00                           0.00


Critical Wellness Number Tracking
DATE:                                        7/28/2011             1/0/1900                 1/0/1900     1/0/1900        1/0/1900         1/0/1900
Wellness Scale:                                197.31               #DIV/0!                  #DIV/0!      #DIV/0!            #DIV/0!       #DIV/0!
Wellness Scale Percent Change:                                      #DIV/0!                  #DIV/0!      #DIV/0!            #DIV/0!       #DIV/0!
WEIGHT:                                          245                  0                        0             0                 0              0
Weight Scale:                     196.15    600.00    600.00    600.00    600.00    600.00
Weight Percent Change:                     205.88%    0.00%     0.00%     0.00%     0.00%
BODY FAT PERCENTAGE:               31.8       0         0         0         0         0
BF% Scale:                        210.61    600.00    600.00    600.00    600.00    600.00
BF% Percent Change:                        184.88%    0.00%     0.00%     0.00%     0.00%
LEAN MUSCLE PERCENTAGE:            29.9       0         0         0         0         0
LMM% Scale:                       178.60   #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
LMM% Percent Change:                       #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
WELLNESS LIFESTYLE:               203.89    0.00      0.00      0.00      0.00      0.00
Lifestyle Scale Percent Change:            -100.00%   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
   1/0/1900                1/0/1900
Frequency     AWP       Frequency     AWP


                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0

                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0

                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                0.00                    0.00
                                                                                  WellCheck: Member Profile
                                 Name:           Sandy Grimes
                            Affiliation:   Chiro-Works Practice Member
                                Phone:           618.304.5855
                                 Email:          grimeskl@att.net

Factual Overview                                                                        Wellness Dashboard
Name:                                            Sandy Grimes                           Date:               7/25/2011
Gender:                                             Female                              Weight:                171.6
Age (Years):                                          55                                Body Fat %              45.2
Height (Inches):                                      62                                LMM%                    23.9
Ideal Weight (Pounds):                                132                               Wellness Life:        203.87
Ideal Body Fat Percentage:                           29.3                               Wellness Scale:       174.80
Ideal Lean Muscle Mass Percent:                       36                                *For Wellness Lifestyle Scale, please see form on Page 3 of this Workbook.

                Wellness Gauge: Body Composition                                        Wellness Report Card
                       Ideal Body Fat::               29.3                                                                 Affiliation         % Off Average
                      Actual Body Fat:                45.2                                                                                                           Platinum: 91-100%




                                                                                                     Your Standing:

                                                                                                                      11.70%
                   Ideal Muscle Mass:                  36                                                                                                               Gold: 76-90%




                                                                                                                                     Bronze
                  Actual Muscle Mass:                 23.9                                                                                                              Silver: 51-75%

                                                                                                                                              -22.31%                  Bronze: 26-50%
                                                                                                                                                                         Blue: 0-25%
  60

  50

  40
                                                                    Muscle Mass
  30                                                                Body Fat            Comments and Suggestions:
  20

  10

   0
         Ideal Body Fat::     Actual Body Fat:

                 ACTIVITIES: Gym Membership..…Walking Club…..Cardio (Running/Walking)…..Interval Cardio…..Functional Core…..Daily Postural Regimine..…Aerobics Classes…5K
                            DIETARY: Whole Food Supplements…..Cleansing/Toxicity…..Isagenix…..Hydration…..Raw Salt Intake…..Fresh Fruits/Veggies…..Whole Grains
                       ASSOCIATED WELLNESS: Chiropractor Visits…..Sleep…..Mineral Balancing…..Massage Therapy…..Planned Dietary….Grocery Store Tour…..CBC Testing
                                                  Physical Exam..…Blood Pressure…..Dental Wellness…..Vision Wellness…..Personal Trainer
WELLNESS LIFESTYLE               DATE:                                    7/25/2011                         1/0/1900                          1/0/1900                       1/0/1900
Description                      Notes                        Frequency               AWP              Frequency       AWP             Frequency         AWP          Frequency         AWP
Activities
Gym Membership                   Weekly Usage                         0                        0                               0                                0                              0
Walking/Bicycle Club             Weekly Attendance                    0                        0                               0                                0                              0
Adult Sports League              Weekly Attendance                    0                        0                               0                                0                              0
Cardio (Running/Walking)         Weekly Frequency                     5                       40                               0                                0                              0
Interval Cardio                  Weekly Frequency                     0                        0                               0                                0                              0
Functional Core Exercises        Weekly Frequency                     0                        0                               0                                0                              0
Daily Postural Regimine          Weekly Frequency                     1                        8                               0                                0                              0
Aerobics/MA Classes              Weekly Frequency                     0                        0                               0                                0                              0
5K Participation/Marathon        Annual Frequency                     0                        0                               0                                0                              0
Dietary
Whole Food Supplements           Weekly Usage                         0                        0                               0                                0                              0
Cleansing/Toxicity Program       Weekly Usage                         1                        8                               0                                0                              0
Hydration/Water Intake           Daily 8 oz. Servings                 6                      19.92                             0                                0                              0
Raw Salt Intake                  1/2 tsp. Servings per week           0                        0                               0                                0                              0
Fresh Fruits/Vegetables          Daily Servings                       3                      12.45                             0                                0                              0
Whole Grains                     Daily Servings                       1                       2.5                              0                                0                              0
White Meat (non-fried)           Daily Servings                       2                        5                               0                                0                              0
Associated Wellness
Chiropractor Visits              Weekly Frequency                     0                        0                               0                                0                              0
Wellness Program Part.           Monthly Frequency                    1                       15                               0                                0                              0
Sleep Habits                     Hours Per Night                     6.5                      26                               0                                0                              0
Mineral Balancing                Annual Frequency                     0                        0                               0                                0                              0
Massage Therapy                  Monthly Frequency                    0                        0                               0                                0                              0
Planned Dietary Program          Weekly Frequency                     3                       12                               0                                0                              0
Physical Examination             Annual Frequency                     1                       20                               0                                0                              0
Complete Blood Count Testing     Annual Frequency                     1                       15                               0                                0                              0
Blood Pressure Checks            Quarterly Frequency                  1                        5                               0                                0                              0
Dental Wellness Assessment       Bi-Annual Frequency                  1                       7.5                              0                                0                              0
Vision/Optometry Wellness        Annual Frequency                    0.5                      7.5                              0                                0                              0
Personal Trainer                 Weekly Frequency                     0                        0                               0                                0                              0
TOTAL                                                                                       203.87                           0.00                              0.00                           0.00


Critical Wellness Number Tracking
DATE:                                        7/25/2011             1/0/1900                 1/0/1900     1/0/1900        1/0/1900         1/0/1900
Wellness Scale:                                174.80               #DIV/0!                  #DIV/0!      #DIV/0!            #DIV/0!       #DIV/0!
Wellness Scale Percent Change:                                      #DIV/0!                  #DIV/0!      #DIV/0!            #DIV/0!       #DIV/0!
WEIGHT:                                        171.6                  0                        0             0                 0              0
Weight Scale:                     210.00    600.00    600.00    600.00    600.00    600.00
Weight Percent Change:                     185.71%    0.00%     0.00%     0.00%     0.00%
BODY FAT PERCENTAGE:               45.2       0         0         0         0         0
BF% Scale:                        137.20    600.00    600.00    600.00    600.00    600.00
BF% Percent Change:                        337.31%    0.00%     0.00%     0.00%     0.00%
LEAN MUSCLE PERCENTAGE:            23.9       0         0         0         0         0
LMM% Scale:                       148.12   #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
LMM% Percent Change:                       #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
WELLNESS LIFESTYLE:               203.87    0.00      0.00      0.00      0.00      0.00
Lifestyle Scale Percent Change:            -100.00%   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
   1/0/1900                1/0/1900
Frequency     AWP       Frequency     AWP


                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0

                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0

                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                0.00                    0.00
                                                                                 WellCheck: Member Profile
                                 Name:              Gus Brecht
                            Affiliation:   Chiro-Works Practice Member
                                Phone:            618.806.4501
                                 Email:          asebrecht@gmail.com

Factual Overview                                                                       Wellness Dashboard
Name:                                               Gus Brecht                         Date:               7/21/2011
Gender:                                               Male                             Weight:                 207
Age (Years):                                            42                             Body Fat %              27.6
Height (Inches):                                      73.75                            LMM%                    33.2
Ideal Weight (Pounds):                                 176                             Wellness Life:        248.38
Ideal Body Fat Percentage:                            19.2                             Wellness Scale:       221.19
Ideal Lean Muscle Mass Percent:                         42                             *For Wellness Lifestyle Scale, please see form on Page 3 of this Workbook.

                Wellness Gauge: Body Composition                                       Wellness Report Card
                       Ideal Body Fat::                19.2                                                               Affiliation         % Off Average
                      Actual Body Fat:                 27.6                                                                                                         Platinum: 91-100%




                                                                                                    Your Standing:

                                                                                                                     52.90%
                   Ideal Muscle Mass:                   42                                                                                                             Gold: 76-90%




                                                                                                                                    Bronze
                  Actual Muscle Mass:                  33.2                                                                                                            Silver: 51-75%

                                                                                                                                             -1.38%                   Bronze: 26-50%
                                                                                                                                                                        Blue: 0-25%
  60

  50

  40
                                                                   Muscle Mass
  30                                                               Body Fat            Comments and Suggestions:
  20

  10

   0
         Ideal Body Fat::     Actual Body Fat:

                 ACTIVITIES: Gym Membership..…Walking Club…..Cardio (Running/Walking)…..Interval Cardio…..Functional Core…..Daily Postural Regimine..…Aerobics Classes…5K
                            DIETARY: Whole Food Supplements…..Cleansing/Toxicity…..Isagenix…..Hydration…..Raw Salt Intake…..Fresh Fruits/Veggies…..Whole Grains
                       ASSOCIATED WELLNESS: Chiropractor Visits…..Sleep…..Mineral Balancing…..Massage Therapy…..Planned Dietary….Grocery Store Tour…..CBC Testing
                                                  Physical Exam..…Blood Pressure…..Dental Wellness…..Vision Wellness…..Personal Trainer
WELLNESS LIFESTYLE               DATE:                                    7/21/2011                         1/0/1900                          1/0/1900                       1/0/1900
Description                      Notes                        Frequency               AWP              Frequency       AWP             Frequency         AWP          Frequency         AWP
Activities
Gym Membership                   Weekly Usage                         0                        0                               0                                0                              0
Walking/Bicycle Club             Weekly Attendance                    0                        0                               0                                0                              0
Adult Sports League              Weekly Attendance                    1                        4                               0                                0                              0
Cardio (Running/Walking)         Weekly Frequency                     0                        0                               0                                0                              0
Interval Cardio                  Weekly Frequency                     0                        0                               0                                0                              0
Functional Core Exercises        Weekly Frequency                     0                        0                               0                                0                              0
Daily Postural Regimine          Weekly Frequency                     5                       40                               0                                0                              0
Aerobics/MA Classes              Weekly Frequency                     0                        0                               0                                0                              0
5K Participation/Marathon        Annual Frequency                     0                        0                               0                                0                              0
Dietary
Whole Food Supplements           Weekly Usage                         0                        0                               0                                0                              0
Cleansing/Toxicity Program       Weekly Usage                         0                        0                               0                                0                              0
Hydration/Water Intake           Daily 8 oz. Servings                 4                      13.28                             0                                0                              0
Raw Salt Intake                  1/2 tsp. Servings per week           0                        0                               0                                0                              0
Fresh Fruits/Vegetables          Daily Servings                       4                      16.6                              0                                0                              0
Whole Grains                     Daily Servings                       1                       2.5                              0                                0                              0
White Meat (non-fried)           Daily Servings                       2                        5                               0                                0                              0
Associated Wellness
Chiropractor Visits              Weekly Frequency                     2                       30                               0                                0                              0
Wellness Program Part.           Monthly Frequency                    1                       15                               0                                0                              0
Sleep Habits                     Hours Per Night                      8                       32                               0                                0                              0
Mineral Balancing                Annual Frequency                     0                        0                               0                                0                              0
Massage Therapy                  Monthly Frequency                    0                        0                               0                                0                              0
Planned Dietary Program          Weekly Frequency                     5                       20                               0                                0                              0
Physical Examination             Annual Frequency                     1                       20                               0                                0                              0
Complete Blood Count Testing     Annual Frequency                     1                       15                               0                                0                              0
Blood Pressure Checks            Quarterly Frequency                  1                        5                               0                                0                              0
Dental Wellness Assessment       Bi-Annual Frequency                  2                       15                               0                                0                              0
Vision/Optometry Wellness        Annual Frequency                     1                       15                               0                                0                              0
Personal Trainer                 Weekly Frequency                     0                        0                               0                                0                              0
TOTAL                                                                                       248.38                           0.00                              0.00                           0.00


Critical Wellness Number Tracking
DATE:                                        7/21/2011             1/0/1900                 1/0/1900     1/0/1900        1/0/1900         1/0/1900
Wellness Scale:                                221.19               #DIV/0!                  #DIV/0!      #DIV/0!            #DIV/0!       #DIV/0!
Wellness Scale Percent Change:                                      #DIV/0!                  #DIV/0!      #DIV/0!            #DIV/0!       #DIV/0!
WEIGHT:                                          207                  0                        0             0                 0              0
Weight Scale:                     247.16    600.00    600.00    600.00    600.00    600.00
Weight Percent Change:                     142.76%    0.00%     0.00%     0.00%     0.00%
BODY FAT PERCENTAGE:               27.6       0         0         0         0         0
BF% Scale:                        168.75    600.00    600.00    600.00    600.00    600.00
BF% Percent Change:                        255.56%    0.00%     0.00%     0.00%     0.00%
LEAN MUSCLE PERCENTAGE:            33.2       0         0         0         0         0
LMM% Scale:                       220.48   #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
LMM% Percent Change:                       #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
WELLNESS LIFESTYLE:               248.38    0.00      0.00      0.00      0.00      0.00
Lifestyle Scale Percent Change:            -100.00%   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
   1/0/1900                1/0/1900
Frequency     AWP       Frequency     AWP


                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0

                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0

                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                0.00                    0.00
                                                                               WellCheck: Member Profile
                                 Name:       Therea McCorkle
                            Affiliation:   Chiro-Works Practice Member
                                Phone:           618.971.5909
                                 Email:      samccorkle@itinet.com

Factual Overview                                                                     Wellness Dashboard
Name:                                        Therea McCorkle                         Date:               7/18/2011
Gender:                                          Female                              Weight:                214.4
Age (Years):                                        51                               Body Fat %              46.3
Height (Inches):                                    67                               LMM%                    23.9
Ideal Weight (Pounds):                             150                               Wellness Life:        145.53
Ideal Body Fat Percentage:                        29.3                               Wellness Scale:       147.70
Ideal Lean Muscle Mass Percent:                     36                               *For Wellness Lifestyle Scale, please see form on Page 3 of this Workbook.

                Wellness Gauge: Body Composition                                     Wellness Report Card
                       Ideal Body Fat::              29.3                                                              Affiliation          % Off Average
                      Actual Body Fat:               46.3                                                                                                         Platinum: 91-100%




                                                                                                  Your Standing:
                   Ideal Muscle Mass:                 36                                                                                                             Gold: 76-90%




                                                                                                                                 Bronze
                                                                                                                   5.80%
                  Actual Muscle Mass:                23.9                                                                                                            Silver: 51-75%

                                                                                                                                          -34.36%                   Bronze: 26-50%
                                                                                                                                                                      Blue: 0-25%
  60

  50

  40
                                                                 Muscle Mass
  30                                                             Body Fat            Comments and Suggestions:
  20

  10

   0
         Ideal Body Fat::     Actual Body Fat:

                 ACTIVITIES: Gym Membership..…Walking Club…..Cardio (Running/Walking)…..Interval Cardio…..Functional Core…..Daily Postural Regimine..…Aerobics Classes…5K
                            DIETARY: Whole Food Supplements…..Cleansing/Toxicity…..Isagenix…..Hydration…..Raw Salt Intake…..Fresh Fruits/Veggies…..Whole Grains
                       ASSOCIATED WELLNESS: Chiropractor Visits…..Sleep…..Mineral Balancing…..Massage Therapy…..Planned Dietary….Grocery Store Tour…..CBC Testing
                                                  Physical Exam..…Blood Pressure…..Dental Wellness…..Vision Wellness…..Personal Trainer
WELLNESS LIFESTYLE               DATE:                                    7/18/2011                         1/0/1900                          1/0/1900                       1/0/1900
Description                      Notes                        Frequency               AWP              Frequency       AWP             Frequency         AWP          Frequency         AWP
Activities
Gym Membership                   Weekly Usage                         0                        0                               0                                0                              0
Walking/Bicycle Club             Weekly Attendance                    0                        0                               0                                0                              0
Adult Sports League              Weekly Attendance                    0                        0                               0                                0                              0
Cardio (Running/Walking)         Weekly Frequency                     0                        0                               0                                0                              0
Interval Cardio                  Weekly Frequency                     0                        0                               0                                0                              0
Functional Core Exercises        Weekly Frequency                     0                        0                               0                                0                              0
Daily Postural Regimine          Weekly Frequency                     0                        0                               0                                0                              0
Aerobics/MA Classes              Weekly Frequency                     0                        0                               0                                0                              0
5K Participation/Marathon        Annual Frequency                     0                        0                               0                                0                              0
Dietary
Whole Food Supplements           Weekly Usage                         0                        0                               0                                0                              0
Cleansing/Toxicity Program       Weekly Usage                         0                        0                               0                                0                              0
Hydration/Water Intake           Daily 8 oz. Servings                10                      33.2                              0                                0                              0
Raw Salt Intake                  1/2 tsp. Servings per week           1                        6                               0                                0                              0
Fresh Fruits/Vegetables          Daily Servings                      0.5                     2.075                             0                                0                              0
Whole Grains                     Daily Servings                       0                        0                               0                                0                              0
White Meat (non-fried)           Daily Servings                       1                       2.5                              0                                0                              0
Associated Wellness
Chiropractor Visits              Weekly Frequency                     1                       15                               0                                0                              0
Wellness Program Part.           Monthly Frequency                    1                       15                               0                                0                              0
Sleep Habits                     Hours Per Night                      7                       28                               0                                0                              0
Mineral Balancing                Annual Frequency                     0                        0                               0                                0                              0
Massage Therapy                  Monthly Frequency                    0                        0                               0                                0                              0
Planned Dietary Program          Weekly Frequency                     0                        0                               0                                0                              0
Physical Examination             Annual Frequency                     1                       20                               0                                0                              0
Complete Blood Count Testing     Annual Frequency                     1                       15                               0                                0                              0
Blood Pressure Checks            Quarterly Frequency                  1                        5                               0                                0                              0
Dental Wellness Assessment       Bi-Annual Frequency                 0.5                     3.75                              0                                0                              0
Vision/Optometry Wellness        Annual Frequency                     0                        0                               0                                0                              0
Personal Trainer                 Weekly Frequency                     0                        0                               0                                0                              0
TOTAL                                                                                       145.53                           0.00                              0.00                           0.00


Critical Wellness Number Tracking
DATE:                                        7/18/2011             1/0/1900                 1/0/1900     1/0/1900        1/0/1900         1/0/1900
Wellness Scale:                                147.70               #DIV/0!                  #DIV/0!      #DIV/0!            #DIV/0!       #DIV/0!
Wellness Scale Percent Change:                                      #DIV/0!                  #DIV/0!      #DIV/0!            #DIV/0!       #DIV/0!
WEIGHT:                                        214.4                  0                        0             0                 0              0
Weight Scale:                     171.20    600.00    600.00    600.00    600.00    600.00
Weight Percent Change:                     250.47%    0.00%     0.00%     0.00%     0.00%
BODY FAT PERCENTAGE:               46.3       0         0         0         0         0
BF% Scale:                        125.94    600.00    600.00    600.00    600.00    600.00
BF% Percent Change:                        376.42%    0.00%     0.00%     0.00%     0.00%
LEAN MUSCLE PERCENTAGE:            23.9       0         0         0         0         0
LMM% Scale:                       148.12   #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
LMM% Percent Change:                       #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
WELLNESS LIFESTYLE:               145.53    0.00      0.00      0.00      0.00      0.00
Lifestyle Scale Percent Change:            -100.00%   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
   1/0/1900                1/0/1900
Frequency     AWP       Frequency     AWP


                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0

                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0

                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                0.00                    0.00
                                                                                 WellCheck: Member Profile
                                 Name:            Ed Korber
                            Affiliation:   Chiro-Works Practice Member
                                Phone:           618.344.1801
                                 Email:          ekorber@att.net

Factual Overview                                                                       Wellness Dashboard
Name:                                             Ed Korber                            Date:               7/18/2011
Gender:                                             Male                               Weight:                197.6
Age (Years):                                         59                                Body Fat %              30.3
Height (Inches):                                     66                                LMM%                    31.5
Ideal Weight (Pounds):                               151                               Wellness Life:        229.93
Ideal Body Fat Percentage:                          24.5                               Wellness Scale:       216.58
Ideal Lean Muscle Mass Percent:                      42                                *For Wellness Lifestyle Scale, please see form on Page 3 of this Workbook.

                Wellness Gauge: Body Composition                                       Wellness Report Card
                       Ideal Body Fat::              24.5                                                                 Affiliation         % Off Average
                      Actual Body Fat:               30.3                                                                                                           Platinum: 91-100%




                                                                                                    Your Standing:

                                                                                                                     41.10%
                   Ideal Muscle Mass:                 42                                                                                                               Gold: 76-90%




                                                                                                                                    Bronze
                  Actual Muscle Mass:                31.5                                                                                                              Silver: 51-75%

                                                                                                                                             -3.74%                   Bronze: 26-50%
                                                                                                                                                                        Blue: 0-25%
  60

  50

  40
                                                                   Muscle Mass
  30                                                               Body Fat            Comments and Suggestions:
  20

  10

   0
         Ideal Body Fat::     Actual Body Fat:

                 ACTIVITIES: Gym Membership..…Walking Club…..Cardio (Running/Walking)…..Interval Cardio…..Functional Core…..Daily Postural Regimine..…Aerobics Classes…5K
                            DIETARY: Whole Food Supplements…..Cleansing/Toxicity…..Isagenix…..Hydration…..Raw Salt Intake…..Fresh Fruits/Veggies…..Whole Grains
                       ASSOCIATED WELLNESS: Chiropractor Visits…..Sleep…..Mineral Balancing…..Massage Therapy…..Planned Dietary….Grocery Store Tour…..CBC Testing
                                                  Physical Exam..…Blood Pressure…..Dental Wellness…..Vision Wellness…..Personal Trainer
WELLNESS LIFESTYLE               DATE:                                    7/18/2011                         1/0/1900                          1/0/1900                       1/0/1900
Description                      Notes                        Frequency               AWP              Frequency       AWP             Frequency         AWP          Frequency         AWP
Activities
Gym Membership                   Weekly Usage                         0                        0                               0                                0                              0
Walking/Bicycle Club             Weekly Attendance                    0                        0                               0                                0                              0
Adult Sports League              Weekly Attendance                    0                        0                               0                                0                              0
Cardio (Running/Walking)         Weekly Frequency                     0                        0                               0                                0                              0
Interval Cardio                  Weekly Frequency                     0                        0                               0                                0                              0
Functional Core Exercises        Weekly Frequency                     0                        0                               0                                0                              0
Daily Postural Regimine          Weekly Frequency                     3                       24                               0                                0                              0
Aerobics/MA Classes              Weekly Frequency                     0                        0                               0                                0                              0
5K Participation/Marathon        Annual Frequency                     0                        0                               0                                0                              0
Dietary
Whole Food Supplements           Weekly Usage                         5                       45                               0                                0                              0
Cleansing/Toxicity Program       Weekly Usage                         0                        0                               0                                0                              0
Hydration/Water Intake           Daily 8 oz. Servings                 4                      13.28                             0                                0                              0
Raw Salt Intake                  1/2 tsp. Servings per week           0                        0                               0                                0                              0
Fresh Fruits/Vegetables          Daily Servings                       1                      4.15                              0                                0                              0
Whole Grains                     Daily Servings                       1                       2.5                              0                                0                              0
White Meat (non-fried)           Daily Servings                       2                        5                               0                                0                              0
Associated Wellness
Chiropractor Visits              Weekly Frequency                     2                       30                               0                                0                              0
Wellness Program Part.           Monthly Frequency                    1                       15                               0                                0                              0
Sleep Habits                     Hours Per Night                      7                       28                               0                                0                              0
Mineral Balancing                Annual Frequency                     0                        0                               0                                0                              0
Massage Therapy                  Monthly Frequency                    0                        0                               0                                0                              0
Planned Dietary Program          Weekly Frequency                     2                        8                               0                                0                              0
Physical Examination             Annual Frequency                     1                       20                               0                                0                              0
Complete Blood Count Testing     Annual Frequency                     0                        0                               0                                0                              0
Blood Pressure Checks            Quarterly Frequency                  1                        5                               0                                0                              0
Dental Wellness Assessment       Bi-Annual Frequency                  2                       15                               0                                0                              0
Vision/Optometry Wellness        Annual Frequency                     1                       15                               0                                0                              0
Personal Trainer                 Weekly Frequency                     0                        0                               0                                0                              0
TOTAL                                                                                       229.93                           0.00                              0.00                           0.00


Critical Wellness Number Tracking
DATE:                                        7/18/2011             1/0/1900                 1/0/1900     1/0/1900        1/0/1900         1/0/1900
Wellness Scale:                                216.58               #DIV/0!                  #DIV/0!      #DIV/0!            #DIV/0!       #DIV/0!
Wellness Scale Percent Change:                                      #DIV/0!                  #DIV/0!      #DIV/0!            #DIV/0!       #DIV/0!
WEIGHT:                                        197.6                  0                        0             0                 0              0
Weight Scale:                     207.42    600.00    600.00    600.00    600.00    600.00
Weight Percent Change:                     189.27%    0.00%     0.00%     0.00%     0.00%
BODY FAT PERCENTAGE:               30.3       0         0         0         0         0
BF% Scale:                        228.98    600.00    600.00    600.00    600.00    600.00
BF% Percent Change:                        162.03%    0.00%     0.00%     0.00%     0.00%
LEAN MUSCLE PERCENTAGE:            31.5       0         0         0         0         0
LMM% Scale:                       200.00   #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
LMM% Percent Change:                       #DIV/0!    #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
WELLNESS LIFESTYLE:               229.93    0.00      0.00      0.00      0.00      0.00
Lifestyle Scale Percent Change:            -100.00%   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
   1/0/1900                1/0/1900
Frequency     AWP       Frequency     AWP


                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0

                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0

                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                0.00                    0.00
                                                                       WellCheck: Member Profile
                                 Name:            0
                            Affiliation:          0
                                Phone:            0
                                 Email:           0

Factual Overview                                                                  Wellness Dashboard
Name:                                             0                              Date:                1/0/1900
Gender:                                           0                              Weight:                  0
Age (Years):                                      0                              Body Fat %               0
Height (Inches):                                  0                              LMM%                     0
Ideal Weight (Pounds):                            0                              Wellness Life:          0.00
Ideal Body Fat Percentage:                        0                              Wellness Scale:       #DIV/0!
Ideal Lean Muscle Mass Percent:                   0                              *For Wellness Lifestyle Scale, please see form on Page 3 of this Workbook.

                Wellness Gauge: Body Composition                                  Wellness Report Card
                       Ideal Body Fat::           0                                                               Affiliation           % Off Average
                      Actual Body Fat:            0                                                                                                               Platinum: 91-100%




                                                                                              Your Standing:
                   Ideal Muscle Mass:             0                                                                                                                  Gold: 76-90%




                                                                                                                            Bronze
                                                                                                               #N/A
                  Actual Muscle Mass:             0                                                                                                                  Silver: 51-75%

                                                                                                                                     -100.00%                       Bronze: 26-50%
                                                                                                                                                                      Blue: 0-25%
  60

  50

  40
                                                         Muscle Mass
  30                                                     Body Fat                Comments and Suggestions:
  20

  10

   0
         Ideal Body Fat::     Actual Body Fat:

                 ACTIVITIES: Gym Membership..…Walking Club…..Cardio (Running/Walking)…..Interval Cardio…..Functional Core…..Daily Postural Regimine..…Aerobics Classes…5K
                            DIETARY: Whole Food Supplements…..Cleansing/Toxicity…..Isagenix…..Hydration…..Raw Salt Intake…..Fresh Fruits/Veggies…..Whole Grains
                       ASSOCIATED WELLNESS: Chiropractor Visits…..Sleep…..Mineral Balancing…..Massage Therapy…..Planned Dietary….Grocery Store Tour…..CBC Testing
                                                  Physical Exam..…Blood Pressure…..Dental Wellness…..Vision Wellness…..Personal Trainer
WELLNESS LIFESTYLE               DATE:                                    1/0/1900                         1/0/1900                          1/0/1900                       1/0/1900
Description                      Notes                        Frequency              AWP              Frequency       AWP             Frequency         AWP          Frequency         AWP
Activities
Gym Membership                   Weekly Usage                         0                       0                               0                                0                              0
Walking/Bicycle Club             Weekly Attendance                    0                       0                               0                                0                              0
Adult Sports League              Weekly Attendance                    0                       0                               0                                0                              0
Cardio (Running/Walking)         Weekly Frequency                     0                       0                               0                                0                              0
Interval Cardio                  Weekly Frequency                     0                       0                               0                                0                              0
Functional Core Exercises        Weekly Frequency                     0                       0                               0                                0                              0
Daily Postural Regimine          Weekly Frequency                     0                       0                               0                                0                              0
Aerobics/MA Classes              Weekly Frequency                     0                       0                               0                                0                              0
5K Participation/Marathon        Annual Frequency                     0                       0                               0                                0                              0
Dietary
Whole Food Supplements           Weekly Usage                         0                       0                               0                                0                              0
Cleansing/Toxicity Program       Weekly Usage                         0                       0                               0                                0                              0
Hydration/Water Intake           Daily 8 oz. Servings                 0                       0                               0                                0                              0
Raw Salt Intake                  1/2 tsp. Servings per week           0                       0                               0                                0                              0
Fresh Fruits/Vegetables          Daily Servings                       0                       0                               0                                0                              0
Whole Grains                     Daily Servings                       0                       0                               0                                0                              0
White Meat (non-fried)           Daily Servings                       0                       0                               0                                0                              0
Associated Wellness
Chiropractor Visits              Weekly Frequency                     0                       0                               0                                0                              0
Wellness Program Part.           Monthly Frequency                    0                       0                               0                                0                              0
Sleep Habits                     Hours Per Night                      0                       0                               0                                0                              0
Mineral Balancing                Annual Frequency                     0                       0                               0                                0                              0
Massage Therapy                  Monthly Frequency                    0                       0                               0                                0                              0
Planned Dietary Program          Weekly Frequency                     0                       0                               0                                0                              0
Physical Examination             Annual Frequency                     0                       0                               0                                0                              0
Complete Blood Count Testing     Annual Frequency                     0                       0                               0                                0                              0
Blood Pressure Checks            Quarterly Frequency                  0                       0                               0                                0                              0
Dental Wellness Assessment       Bi-Annual Frequency                  0                       0                               0                                0                              0
Vision/Optometry Wellness        Annual Frequency                     0                       0                               0                                0                              0
Personal Trainer                 Weekly Frequency                     0                       0                               0                                0                              0
TOTAL                                                                                       0.00                            0.00                              0.00                           0.00


Critical Wellness Number Tracking
DATE:                                         1/0/1900             1/0/1900                1/0/1900     1/0/1900        1/0/1900         1/0/1900
Wellness Scale:                               #DIV/0!               #DIV/0!                 #DIV/0!      #DIV/0!            #DIV/0!       #DIV/0!
Wellness Scale Percent Change:                                      #DIV/0!                 #DIV/0!      #DIV/0!            #DIV/0!       #DIV/0!
WEIGHT:                                           0                   0                       0             0                 0              0
Weight Scale:                     #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
Weight Percent Change:                      #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
BODY FAT PERCENTAGE:                 0        0         0         0         0         0
BF% Scale:                        #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
BF% Percent Change:                         #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
LEAN MUSCLE PERCENTAGE:              0        0         0         0         0         0
LMM% Scale:                       #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
LMM% Percent Change:                        #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
WELLNESS LIFESTYLE:                0.00     0.00      0.00      0.00      0.00      0.00
Lifestyle Scale Percent Change:             #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
   1/0/1900                1/0/1900
Frequency     AWP       Frequency     AWP


                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0

                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0

                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                0.00                    0.00
                                                                       WellCheck: Member Profile
                                 Name:            0
                            Affiliation:          0
                                Phone:            0
                                 Email:           0

Factual Overview                                                                  Wellness Dashboard
Name:                                             0                              Date:                1/0/1900
Gender:                                           0                              Weight:                  0
Age (Years):                                      0                              Body Fat %               0
Height (Inches):                                  0                              LMM%                     0
Ideal Weight (Pounds):                            0                              Wellness Life:          0.00
Ideal Body Fat Percentage:                        0                              Wellness Scale:       #DIV/0!
Ideal Lean Muscle Mass Percent:                   0                              *For Wellness Lifestyle Scale, please see form on Page 3 of this Workbook.

                Wellness Gauge: Body Composition                                  Wellness Report Card
                       Ideal Body Fat::           0                                                               Affiliation           % Off Average
                      Actual Body Fat:            0                                                                                                               Platinum: 91-100%




                                                                                              Your Standing:
                   Ideal Muscle Mass:             0                                                                                                                  Gold: 76-90%




                                                                                                                            Bronze
                                                                                                               #N/A
                  Actual Muscle Mass:             0                                                                                                                  Silver: 51-75%

                                                                                                                                     -100.00%                       Bronze: 26-50%
                                                                                                                                                                      Blue: 0-25%
  60

  50

  40
                                                         Muscle Mass
  30                                                     Body Fat                Comments and Suggestions:
  20

  10

   0
         Ideal Body Fat::     Actual Body Fat:

                 ACTIVITIES: Gym Membership..…Walking Club…..Cardio (Running/Walking)…..Interval Cardio…..Functional Core…..Daily Postural Regimine..…Aerobics Classes…5K
                            DIETARY: Whole Food Supplements…..Cleansing/Toxicity…..Isagenix…..Hydration…..Raw Salt Intake…..Fresh Fruits/Veggies…..Whole Grains
                       ASSOCIATED WELLNESS: Chiropractor Visits…..Sleep…..Mineral Balancing…..Massage Therapy…..Planned Dietary….Grocery Store Tour…..CBC Testing
                                                  Physical Exam..…Blood Pressure…..Dental Wellness…..Vision Wellness…..Personal Trainer
WELLNESS LIFESTYLE               DATE:                                    1/0/1900                         1/0/1900                          1/0/1900                       1/0/1900
Description                      Notes                        Frequency              AWP              Frequency       AWP             Frequency         AWP          Frequency         AWP
Activities
Gym Membership                   Weekly Usage                         0                       0                               0                                0                              0
Walking/Bicycle Club             Weekly Attendance                    0                       0                               0                                0                              0
Adult Sports League              Weekly Attendance                    0                       0                               0                                0                              0
Cardio (Running/Walking)         Weekly Frequency                     0                       0                               0                                0                              0
Interval Cardio                  Weekly Frequency                     0                       0                               0                                0                              0
Functional Core Exercises        Weekly Frequency                     0                       0                               0                                0                              0
Daily Postural Regimine          Weekly Frequency                     0                       0                               0                                0                              0
Aerobics/MA Classes              Weekly Frequency                     0                       0                               0                                0                              0
5K Participation/Marathon        Annual Frequency                     0                       0                               0                                0                              0
Dietary
Whole Food Supplements           Weekly Usage                         0                       0                               0                                0                              0
Cleansing/Toxicity Program       Weekly Usage                         0                       0                               0                                0                              0
Hydration/Water Intake           Daily 8 oz. Servings                 0                       0                               0                                0                              0
Raw Salt Intake                  1/2 tsp. Servings per week           0                       0                               0                                0                              0
Fresh Fruits/Vegetables          Daily Servings                       0                       0                               0                                0                              0
Whole Grains                     Daily Servings                       0                       0                               0                                0                              0
White Meat (non-fried)           Daily Servings                       0                       0                               0                                0                              0
Associated Wellness
Chiropractor Visits              Weekly Frequency                     0                       0                               0                                0                              0
Wellness Program Part.           Monthly Frequency                    0                       0                               0                                0                              0
Sleep Habits                     Hours Per Night                      0                       0                               0                                0                              0
Mineral Balancing                Annual Frequency                     0                       0                               0                                0                              0
Massage Therapy                  Monthly Frequency                    0                       0                               0                                0                              0
Planned Dietary Program          Weekly Frequency                     0                       0                               0                                0                              0
Physical Examination             Annual Frequency                     0                       0                               0                                0                              0
Complete Blood Count Testing     Annual Frequency                     0                       0                               0                                0                              0
Blood Pressure Checks            Quarterly Frequency                  0                       0                               0                                0                              0
Dental Wellness Assessment       Bi-Annual Frequency                  0                       0                               0                                0                              0
Vision/Optometry Wellness        Annual Frequency                     0                       0                               0                                0                              0
Personal Trainer                 Weekly Frequency                     0                       0                               0                                0                              0
TOTAL                                                                                       0.00                            0.00                              0.00                           0.00


Critical Wellness Number Tracking
DATE:                                         1/0/1900             1/0/1900                1/0/1900     1/0/1900        1/0/1900         1/0/1900
Wellness Scale:                               #DIV/0!               #DIV/0!                 #DIV/0!      #DIV/0!            #DIV/0!       #DIV/0!
Wellness Scale Percent Change:                                      #DIV/0!                 #DIV/0!      #DIV/0!            #DIV/0!       #DIV/0!
WEIGHT:                                           0                   0                       0             0                 0              0
Weight Scale:                     #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
Weight Percent Change:                      #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
BODY FAT PERCENTAGE:                 0        0         0         0         0         0
BF% Scale:                        #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
BF% Percent Change:                         #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
LEAN MUSCLE PERCENTAGE:              0        0         0         0         0         0
LMM% Scale:                       #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
LMM% Percent Change:                        #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
WELLNESS LIFESTYLE:                0.00     0.00      0.00      0.00      0.00      0.00
Lifestyle Scale Percent Change:             #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
   1/0/1900                1/0/1900
Frequency     AWP       Frequency     AWP


                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0

                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0

                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                0.00                    0.00
                                                                       WellCheck: Member Profile
                                 Name:            0
                            Affiliation:          0
                                Phone:            0
                                 Email:           0

Factual Overview                                                                  Wellness Dashboard
Name:                                             0                              Date:                1/0/1900
Gender:                                           0                              Weight:                  0
Age (Years):                                      0                              Body Fat %               0
Height (Inches):                                  0                              LMM%                     0
Ideal Weight (Pounds):                            0                              Wellness Life:          0.00
Ideal Body Fat Percentage:                        0                              Wellness Scale:       #DIV/0!
Ideal Lean Muscle Mass Percent:                   0                              *For Wellness Lifestyle Scale, please see form on Page 3 of this Workbook.

                Wellness Gauge: Body Composition                                  Wellness Report Card
                       Ideal Body Fat::           0                                                               Affiliation           % Off Average
                      Actual Body Fat:            0                                                                                                               Platinum: 91-100%




                                                                                              Your Standing:
                   Ideal Muscle Mass:             0                                                                                                                  Gold: 76-90%




                                                                                                                            Bronze
                                                                                                               #N/A
                  Actual Muscle Mass:             0                                                                                                                  Silver: 51-75%

                                                                                                                                     -100.00%                       Bronze: 26-50%
                                                                                                                                                                      Blue: 0-25%
  60

  50

  40
                                                         Muscle Mass
  30                                                     Body Fat                Comments and Suggestions:
  20

  10

   0
         Ideal Body Fat::     Actual Body Fat:

                 ACTIVITIES: Gym Membership..…Walking Club…..Cardio (Running/Walking)…..Interval Cardio…..Functional Core…..Daily Postural Regimine..…Aerobics Classes…5K
                            DIETARY: Whole Food Supplements…..Cleansing/Toxicity…..Isagenix…..Hydration…..Raw Salt Intake…..Fresh Fruits/Veggies…..Whole Grains
                       ASSOCIATED WELLNESS: Chiropractor Visits…..Sleep…..Mineral Balancing…..Massage Therapy…..Planned Dietary….Grocery Store Tour…..CBC Testing
                                                  Physical Exam..…Blood Pressure…..Dental Wellness…..Vision Wellness…..Personal Trainer
WELLNESS LIFESTYLE               DATE:                                    1/0/1900                         1/0/1900                          1/0/1900                       1/0/1900
Description                      Notes                        Frequency              AWP              Frequency       AWP             Frequency         AWP          Frequency         AWP
Activities
Gym Membership                   Weekly Usage                         0                       0                               0                                0                              0
Walking/Bicycle Club             Weekly Attendance                    0                       0                               0                                0                              0
Adult Sports League              Weekly Attendance                    0                       0                               0                                0                              0
Cardio (Running/Walking)         Weekly Frequency                     0                       0                               0                                0                              0
Interval Cardio                  Weekly Frequency                     0                       0                               0                                0                              0
Functional Core Exercises        Weekly Frequency                     0                       0                               0                                0                              0
Daily Postural Regimine          Weekly Frequency                     0                       0                               0                                0                              0
Aerobics/MA Classes              Weekly Frequency                     0                       0                               0                                0                              0
5K Participation/Marathon        Annual Frequency                     0                       0                               0                                0                              0
Dietary
Whole Food Supplements           Weekly Usage                         0                       0                               0                                0                              0
Cleansing/Toxicity Program       Weekly Usage                         0                       0                               0                                0                              0
Hydration/Water Intake           Daily 8 oz. Servings                 0                       0                               0                                0                              0
Raw Salt Intake                  1/2 tsp. Servings per week           0                       0                               0                                0                              0
Fresh Fruits/Vegetables          Daily Servings                       0                       0                               0                                0                              0
Whole Grains                     Daily Servings                       0                       0                               0                                0                              0
White Meat (non-fried)           Daily Servings                       0                       0                               0                                0                              0
Associated Wellness
Chiropractor Visits              Weekly Frequency                     0                       0                               0                                0                              0
Wellness Program Part.           Monthly Frequency                    0                       0                               0                                0                              0
Sleep Habits                     Hours Per Night                      0                       0                               0                                0                              0
Mineral Balancing                Annual Frequency                     0                       0                               0                                0                              0
Massage Therapy                  Monthly Frequency                    0                       0                               0                                0                              0
Planned Dietary Program          Weekly Frequency                     0                       0                               0                                0                              0
Physical Examination             Annual Frequency                     0                       0                               0                                0                              0
Complete Blood Count Testing     Annual Frequency                     0                       0                               0                                0                              0
Blood Pressure Checks            Quarterly Frequency                  0                       0                               0                                0                              0
Dental Wellness Assessment       Bi-Annual Frequency                  0                       0                               0                                0                              0
Vision/Optometry Wellness        Annual Frequency                     0                       0                               0                                0                              0
Personal Trainer                 Weekly Frequency                     0                       0                               0                                0                              0
TOTAL                                                                                       0.00                            0.00                              0.00                           0.00


Critical Wellness Number Tracking
DATE:                                         1/0/1900             1/0/1900                1/0/1900     1/0/1900        1/0/1900         1/0/1900
Wellness Scale:                               #DIV/0!               #DIV/0!                 #DIV/0!      #DIV/0!            #DIV/0!       #DIV/0!
Wellness Scale Percent Change:                                      #DIV/0!                 #DIV/0!      #DIV/0!            #DIV/0!       #DIV/0!
WEIGHT:                                           0                   0                       0             0                 0              0
Weight Scale:                     #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
Weight Percent Change:                      #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
BODY FAT PERCENTAGE:                 0        0         0         0         0         0
BF% Scale:                        #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
BF% Percent Change:                         #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
LEAN MUSCLE PERCENTAGE:              0        0         0         0         0         0
LMM% Scale:                       #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
LMM% Percent Change:                        #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
WELLNESS LIFESTYLE:                0.00     0.00      0.00      0.00      0.00      0.00
Lifestyle Scale Percent Change:             #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
   1/0/1900                1/0/1900
Frequency     AWP       Frequency     AWP


                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0

                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0

                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                0.00                    0.00
                                                                       WellCheck: Member Profile
                                 Name:            0
                            Affiliation:          0
                                Phone:            0
                                 Email:           0

Factual Overview                                                                  Wellness Dashboard
Name:                                             0                              Date:                1/0/1900
Gender:                                           0                              Weight:                  0
Age (Years):                                      0                              Body Fat %               0
Height (Inches):                                  0                              LMM%                     0
Ideal Weight (Pounds):                            0                              Wellness Life:          0.00
Ideal Body Fat Percentage:                        0                              Wellness Scale:       #DIV/0!
Ideal Lean Muscle Mass Percent:                   0                              *For Wellness Lifestyle Scale, please see form on Page 3 of this Workbook.

                Wellness Gauge: Body Composition                                  Wellness Report Card
                       Ideal Body Fat::           0                                                               Affiliation           % Off Average
                      Actual Body Fat:            0                                                                                                               Platinum: 91-100%




                                                                                              Your Standing:
                   Ideal Muscle Mass:             0                                                                                                                  Gold: 76-90%




                                                                                                                            Bronze
                                                                                                               #N/A
                  Actual Muscle Mass:             0                                                                                                                  Silver: 51-75%

                                                                                                                                     -100.00%                       Bronze: 26-50%
                                                                                                                                                                      Blue: 0-25%
  60

  50

  40
                                                         Muscle Mass
  30                                                     Body Fat                Comments and Suggestions:
  20

  10

   0
         Ideal Body Fat::     Actual Body Fat:

                 ACTIVITIES: Gym Membership..…Walking Club…..Cardio (Running/Walking)…..Interval Cardio…..Functional Core…..Daily Postural Regimine..…Aerobics Classes…5K
                            DIETARY: Whole Food Supplements…..Cleansing/Toxicity…..Isagenix…..Hydration…..Raw Salt Intake…..Fresh Fruits/Veggies…..Whole Grains
                       ASSOCIATED WELLNESS: Chiropractor Visits…..Sleep…..Mineral Balancing…..Massage Therapy…..Planned Dietary….Grocery Store Tour…..CBC Testing
                                                  Physical Exam..…Blood Pressure…..Dental Wellness…..Vision Wellness…..Personal Trainer
WELLNESS LIFESTYLE               DATE:                                    1/0/1900                         1/0/1900                          1/0/1900                       1/0/1900
Description                      Notes                        Frequency              AWP              Frequency       AWP             Frequency         AWP          Frequency         AWP
Activities
Gym Membership                   Weekly Usage                         0                       0                               0                                0                              0
Walking/Bicycle Club             Weekly Attendance                    0                       0                               0                                0                              0
Adult Sports League              Weekly Attendance                    0                       0                               0                                0                              0
Cardio (Running/Walking)         Weekly Frequency                     0                       0                               0                                0                              0
Interval Cardio                  Weekly Frequency                     0                       0                               0                                0                              0
Functional Core Exercises        Weekly Frequency                     0                       0                               0                                0                              0
Daily Postural Regimine          Weekly Frequency                     0                       0                               0                                0                              0
Aerobics/MA Classes              Weekly Frequency                     0                       0                               0                                0                              0
5K Participation/Marathon        Annual Frequency                     0                       0                               0                                0                              0
Dietary
Whole Food Supplements           Weekly Usage                         0                       0                               0                                0                              0
Cleansing/Toxicity Program       Weekly Usage                         0                       0                               0                                0                              0
Hydration/Water Intake           Daily 8 oz. Servings                 0                       0                               0                                0                              0
Raw Salt Intake                  1/2 tsp. Servings per week           0                       0                               0                                0                              0
Fresh Fruits/Vegetables          Daily Servings                       0                       0                               0                                0                              0
Whole Grains                     Daily Servings                       0                       0                               0                                0                              0
White Meat (non-fried)           Daily Servings                       0                       0                               0                                0                              0
Associated Wellness
Chiropractor Visits              Weekly Frequency                     0                       0                               0                                0                              0
Wellness Program Part.           Monthly Frequency                    0                       0                               0                                0                              0
Sleep Habits                     Hours Per Night                      0                       0                               0                                0                              0
Mineral Balancing                Annual Frequency                     0                       0                               0                                0                              0
Massage Therapy                  Monthly Frequency                    0                       0                               0                                0                              0
Planned Dietary Program          Weekly Frequency                     0                       0                               0                                0                              0
Physical Examination             Annual Frequency                     0                       0                               0                                0                              0
Complete Blood Count Testing     Annual Frequency                     0                       0                               0                                0                              0
Blood Pressure Checks            Quarterly Frequency                  0                       0                               0                                0                              0
Dental Wellness Assessment       Bi-Annual Frequency                  0                       0                               0                                0                              0
Vision/Optometry Wellness        Annual Frequency                     0                       0                               0                                0                              0
Personal Trainer                 Weekly Frequency                     0                       0                               0                                0                              0
TOTAL                                                                                       0.00                            0.00                              0.00                           0.00


Critical Wellness Number Tracking
DATE:                                         1/0/1900             1/0/1900                1/0/1900     1/0/1900        1/0/1900         1/0/1900
Wellness Scale:                               #DIV/0!               #DIV/0!                 #DIV/0!      #DIV/0!            #DIV/0!       #DIV/0!
Wellness Scale Percent Change:                                      #DIV/0!                 #DIV/0!      #DIV/0!            #DIV/0!       #DIV/0!
WEIGHT:                                           0                   0                       0             0                 0              0
Weight Scale:                     #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
Weight Percent Change:                      #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
BODY FAT PERCENTAGE:                 0        0         0         0         0         0
BF% Scale:                        #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
BF% Percent Change:                         #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
LEAN MUSCLE PERCENTAGE:              0        0         0         0         0         0
LMM% Scale:                       #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
LMM% Percent Change:                        #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
WELLNESS LIFESTYLE:                0.00     0.00      0.00      0.00      0.00      0.00
Lifestyle Scale Percent Change:             #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!   #DIV/0!
   1/0/1900                1/0/1900
Frequency     AWP       Frequency     AWP


                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0

                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0

                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                    0                       0
                0.00                    0.00
MEMBER #:   1          2          3        4      5     6       7        8        9     10      11        12     13
        Name Name Name            Name Name Name Name Name               Name
               Elizabeth Kindhart Brett Boerm
        Jeremy Book    Terry Swalley                        Dianne Julie Sherry Kim Martin    Stephenson Wolters
                                                                                                    Eric
                                           ElizabethChris Boerner Black Brown Morhaus Jessica Michael Matthews
                                                    Price


                Phone Phone
        Phone NumberNumberNumber Number Number Number Number Number
                                     Phone Phone Phone Phone Phone            Phone Number
                618 - 420 - 9035 618 -        - 9757 - 5636 - 2446 - 5457 - 973        618-258-4829 618.447.4862
        618 - 531 - 4168 618 - 223 - 4586 345618 - 345314 - 445618 - 538618 - 618 - 0135 - 9696 618.334.4346 618.779.8357
                                                                              344


        Email Email Email                                         E
                                 Email Email Email Email Email mail
               eliza90103@hotmail.com johnpricejr@hotmail.com
                       tcswalley@gmail.com    chris.boerner@charter.net kimscotnlv@yahoo.com
                                                      dblack@scu.org
        drjeremy@chiro-works.net jbboerm262@hotmail.com           sherry_morhaus@yahoo.com wolt29@aol.com
                                                                                      ladofone_04@yahoo.com
                                                             jbrown@kahoks.org jstephenson122605@yahoo.com

                  Affiliation
        Affiliation         Affiliation Affiliation
                                                  Affiliation
                                                            Affiliation
                                                                      Affiliation     Affiliation
                                                                                Affiliation
                  Chiro-Works MemberMember Practice Practice Practice Practice Practice Chiro-Works Practice
                            Chiro-Works                               Chiro-Works Chiro-Works Practice Practice Chiro-Works Practic
                                                                                Chiro-Works Chiro-Works Chiro-Works Practice Mem
        Chiro-Works Practice Practice Practice Member Member Member Member Member MemberMemberMemberMember
                                                  Chiro-Works
                                        Chiro-Works         Chiro-Works


        Gender Gender Gender                                               Gender
                                           Gender Gender Gender Gender Gender
        Male Female Male                   Male   Female Male              Female
                                                                Female Female           Female Female Male Male

        Age          Age        Age        Age    Age    Age    Age      Age   Age
                34         22         28   36     60     42     50       43           54 46     28          30     34

                Height Height                                              Height (inches)
        Height (inches) (inches) (inches) (inches) (inches) (inches) (inches) (inches)
                                     Height Height Height Height Height
            76       64       74     70     62       72       65       68        62 67.5   66               72 71.5

               Weight (pounds) Weight (pounds)(pounds)(pounds)(pounds)(pounds)
                      Weight (pounds) Weight Weight Weight Weight
        Weight (pounds)                                            Weight (pounds)
          200     112 167.4     189    179     210 ######      133      143 142.6 228.2                    192    176

               Ideal Weight (see referenceIdeal Weight Weight Weight Idealright) atreference right) at right)
                        Ideal Weight (see at chart at reference chart atreference chart chart at chart
                                    chart reference chart at reference right) at Weight (see
                                             right) right) right)
        Ideal Weight (see referenceIdeal Weight (see Ideal(see Ideal(see Ideal(see reference right) reference chart at right)
                                                                               Weight (see
                                                                           chart
           187     138      178    163      132      170       141       150       132 142.6 147           170 168

               Body Fat Percentage
                       Body
        Body Fat Percentage Fat PercentagePercentage FatBody FatBodyBody Fat Percentage
                                                   Percentage
                                  Body FatBody FatBody             Percentage
                                                           Percentage Fat Percentage
            21    25.1    18.8    26.1    47.1    23.6    41.1    29      34.5 31.5  52                     22 13.4

                Ideal Body Fat Percentage (see reference chart atreferencePercentage (see reference chart at right) at right)
                        Ideal Body Fat referenceBody Fat PercentageIdeal Body Fatreference right) atreference chart
                                   Ideal Body Fat chart reference chart atreferencePercentage (see (see
                                                    Ideal right) right) right) at chart
        Ideal Body Fat Percentage (see Percentage (see atBody FatBody FatIdeal Body Fat Percentageright) reference chart at
                                                              (see   (see chart
                                           Ideal PercentageIdeal Percentage (see right) at chart
           16.7    23.4    16.1    18.3    30       19.2     28.6   27.4     29.3 28.6    24.5      16.1 16.7

               Lean Muscle Mass Percentage Muscle Mass Percentage Mass Percentage
                       Lean Muscle Mass Percentage Muscle Muscle Lean Muscle Percentage
        Lean Muscle Mass Percentage Muscle Mass Percentage Mass Percentage Mass Mass Percentage
                                 Lean    Lean   Lean  Lean    Lean Muscle
            36    30.3    38.8   35.3    23.1   35.8  26.5    33        29 28.7   21.3     37.9 42.3

                Ideal Lean Muscle Mass Percentage Ideal LeanMass Percentage Mass Percentage (42-M/36-F)
                        Ideal Lean Muscle Mass LeanMass Percentage (42-M/36-F) Muscle Mass Percentage (42-M/36-F)
                                            (42-M/36-F)
                                                    (42-M/36-F)
                                                            (42-M/36-F) Ideal Muscle (42-M/36-F)
                                                                    Ideal Lean Lean
        Ideal Lean Muscle Mass Percentage Ideal Percentage Ideal LeanMass Percentage Mass Percentage (42-M/36-F)
                                   Ideal Lean Muscle Muscle Muscle Muscle (42-M/36-F)
             42      36      42    42       36     42      36       36        36 36     36        42     42

              Gym Membership: Weekly Gym Membership:Gym Visits (0-5 days): days): Visits (0-5 days): Visits (0-5
                    Gym Membership: Weeklydays):Membership:GymMembership:Gym Weekly Gym
                               Gym Visits (0-5 Gym Visits (0-5 days):GymWeekly Weekly Gym
                                      Gym Visits (0-5 days):      Weekly Membership:
        Gym Membership: Weekly Gym Membership: WeeklyGym Membership:Gym Visits (0-5 days): Visits (0-5 days): days):
                                               Gym       WeeklyGym Visits (0-5
            3     0       0    2      0        0       2        0        32      0             0       0

               Walking/Biking Club: Weekly Club Club: Weekly(0-5 Club:Club Interaction (0-5 days): days): Interaction (0-5
                       Walking/Biking Club: Weekly (0-5 days): days):Walking/Biking Weekly(0-5 Interaction (0-5
                                 Walking/Biking Interaction Weekly(0-5 Club:Club Interaction Weekly (0-5
                                          Walking/Biking Interaction Weekly(0-5 days): Club: Club
                                                           Walking/Biking days):
        Walking/Biking Club: Weekly Club Interaction Club Club:Club Walking/Biking Club:Club InteractionClub days): days):
                                                   Walking/Biking Interaction Weekly
      0        0       0     0        0       0        0        0          00         2.5          0      0

        Adult Sports Weekly League League (0-5 SportsLeague Activity ActivityLeague: (0-5 days): days): days):
                Adult Sports Weekly Weekly League (0-5 SportsLeague Sports (0-5 days):League(0-5
                                           Adult days): days): Sports League:
                                                             Adult days):
Adult Sports League: League: League:Activity Activity Activity (0-5Adult(0-5 days):LeagueWeekly League Activity (0-5
                                   Adult Sports League: League: League: Weekly Weekly
                                                    Adult
                           Adult Sports League: Weekly Weekly Weekly League Activity Activity Activity (0-5
      0       0       0    0       0       2        0        0           00         0         1      1

Cardiovascular Exercise: 15 Cardiovascular Exercise: 15 minutes weekly (0-5 days): more (0-5 days): more(0-5 days): ca
        Cardiovascular Exercise: 15 Cardiovascular Exercise: 15 minutes sustained Exercise: more(0-5 days):more susta
                Cardiovascular Exercise: 15 Cardiovascular Exercise: 15 weekly (0-5 days): 15 minutes or weekly (0-5
                            minutesminutesminutesCardiovascular Exercise: 15 sustained cardio,sustained cardio, we
                                     or more or more or cardio, or Cardiovascular cardio,sustained cardio,sustained
                                              sustained more sustainedminutes weekly minutes or
                                                       sustained cardio, or more minutes or
                                                                   more cardio, or
                                                              Cardiovascular Exercise: 15 weekly weekly
      2       4       1     1       0       0        2        3          31        0           0      0

Interval-Based Cardiovascular ExerciseExerciseExercise duplicate ExerciseduplicateExerciseduplicate (dofrequency (0-5
        Interval-Based Cardiovascular (do not duplicate Exercise Interval-BasedfromWeekly frequency (0-5 Weekly t
                Interval-Based Cardiovascular (do not (do not from previousnotCardiovascular Exercise fromnot du
                           Interval-Based Cardiovascular totals duplicate ExerciseduplicateExerciseduplicate totals fro
                                    Interval-Based Cardiovascular totals from previousnot (doWeekly Weekly freque
                                             Interval-Based Cardiovascular totals (do previousnot totals (dodays):
                                                      Interval-Based(do not (do field): field): previouspreviousprevio
                                                                      Cardiovascular totals from field): not duplicate
                                                               Interval-Based Cardiovascular totals from field): field):
      0       4       0    0        0        0        0        5           32        1.5         1      0

Functional Core Functional#Functional Core #Functional#Core Exercises: #Core Exercises: #focused focused on exercise
        Functional Core Exercises: #Functional Core Exercises:onofFunctional Core Exercises: # ofon exercises (0-5 da
                Exercises: Core Exercises: Exercises:onof (0-5 #Core Exercises: #focused on Days days):focused on ex
                            of Days focused focusedFunctionaldays): days): days): days): Days days):
                                     of Days of Days focusedFunctional focused on Days of exercises (0-5
                                             on exercises Days focused on (0-5 of exercises (0-5
                                                        exercises (0-5 of Days
                                                                 exercises exercises (0-5
                                                                   Days
      1       0       2    1        5       0       2        5          02         0           3     0

Daily Posture Posture # Days focused focused focused 20-30 minutesminutesminutes minutes minutes minutes minute
        Daily Resets: Posture # Days onDays on #Posture #Posture #Posturedays):20-30 (0-5 Days focused on every 20-3
                Daily Resets: Resets: # resets every on resets every 20-30 (0-5 days):20-30 (0-5 on resetsdays): eve
                           Daily Posture Resets: resets every 20-30 (0-5 every Resets: #focused days): 20-30 (0-5 da
                                   Daily Posture Resets: Resets: Daily Posture focused on resets every
                                            Daily Days focused focused focused on Days days):20-30 (0-5 resets
                                                             Daily Resets: # resets # resets every
                                                                    resets Resets:
                                                    Daily Days on Days on Days every
      5       0       2    2       0        0       0        2           03         3            0   3

Aerobics/Martial Arts Classes: Classes: Classes: ClassArts Classes:Classdays): Arts Classdays): days): days): Atten
       Aerobics/Martial Arts Weekly ClassArtsWeekly ClassArts Classes:Classdays): AttendanceClass Attendance (0
               Aerobics/Martial Arts Weekly Classes: (0-5Aerobics/Martial AttendanceClass Attendance (0-5 days)
                           Aerobics/Martial Aerobics/Martial Attendance Classes:Classes: WeeklyWeekly Class
                                    Aerobics/Martial Aerobics/Martial Arts (0-5
                                              Attendance Weekly (0-5 Attendance Weekly (0-5
                                                       Attendance Weekly Weekly (0-5 Classes: (0-5
                                                                days):
                                                                    Aerobics/Martial Arts
     0      0         0    0        0        0        0        0         02          0          0     0

Event Partcipation: # of RunningRunning(5K EventEvents of Partcipation:orPartcipation: #or within or within or within the P
        Event Partcipation: EventEvents Running(5K Event RunningPartcipation:or within theRunning Eventsgreater)gre
                Event Partcipation: EventEvents of Partcipation: the (5K the (5K the (5K ofgreater) greater) (5K orYear
                            # of Partcipation: # Running EventsEvent#within # greater)Year: the Past the Past wi
                                    # of Partcipation: #within #within Year: Year:
                                            or greater)greater)greater) greater) of Past Past Year: Year:
                                                     or (5K Event Past of Past
                                                              or of Running Running Running Events (5K
                                                                      Events Events Events (5K
      0       0        1    0       0       0        0        0           00       1            0        0

       Weekly Consulting with Personal Triner(s) Personal (0-5 days): with Triner(s) Triner(s) (0-5 days):
               Weekly Personal Triner(s) (0-5 days): with Triner(s) Triner(s) (0-5 days): days):
                          Weekly with Personal (0-5 days): with Consulting with (0-5 Personal Triner(s) (0-5
                                                           Weekly (0-5 Consulting with
                                                                Weekly
Weekly Consulting with ConsultingConsulting withTriner(s) PersonalPersonalPersonalPersonal Triner(s) (0-5 days): da
                                          Weekly Consulting
                                  Weekly Consulting
                                                  Weekly Consulting days):
    0       0        0    0       0       0       0        0            00          1           0      0

        Hydration:oz. Servings of8 oz. Daily bottle(a 8Hydration:servings): Servings of oz. Servings ofis 2 servings):
                8 Daily 8 Daily Water (a 8Hydration:servings): Servings of Water (a Water (a bottle Water is 2 servi
                           Hydration: of WaterServingsServings of 8 oz. (a bottle is bottle is 2 servings):
                                    Hydration: Daily 2oz. of 8Hydration:servings): 8 2 servings):
                                               oz. Water is Water (a Water is 2 servings):
                                                         Daily 2oz. is bottle
                                                                  Daily 2 Daily Daily
Hydration: DailyHydration:oz. ServingsServings of isbottle(a bottleHydration:8 oz. Servings of Water (a bottle(a bottle
     8       4        6    6        6         0        2       12          0 10      11          12     12

Raw Salt Intake:Raw SaltServingsServingsServings ofRaw Salt/Non-processed Salt (1/2servilng):Sea Salt/Non-process
       Raw SaltWeekly WeeklySaltRaw Salt/Non-processedRaw Salt Salt (1/2servilng):SeaServings ofservilng): Saltpe
                 Intake: Intake: WeeklySaltRaw Salt/Non-processed Intake:ServingsServings ofservilng): per serviln
                           Raw of Sea of Sea Salt Sea Salt Salt Raw Saltper tsp per Salt (1/2 Saltper Sea Salt/Non
                                    Intake: Weekly ServingsServingsServings of SeaWeekly per tsp (1/2 Salt (1/2 tsp (1
                                             Intake: Weekly of Sea(1/2 tsp Salt/Non-processed
                                                      Intake: Weekly of Sea Intake: Salt/Non-processed tsp
                                                               Intake: Weekly Weekly of tsp Salt/Non-processed
                                                                    Salt/Non-processed
     5        0       3    0       2        0        0        0           05       0           0      5

Whole Food Supplements: #Whole per Week Whole Whole Food Supplements perSupplements#(0-5 days):Week using
       Whole Food Supplements:Food Supplements:using Whole Whole Week(0-5 days):Supplementsper SupplementF
              Whole Food Days #Whole per Week Whole FoodDays perSupplements perDays perSupplements Whole
                           Supplements:Food Supplements:usingFood Days using Wholedays): Week using (0-5Sup
                                  Days #using per Weekper Week using Whole Food Week using Whole Food da
                                         Days FoodDays Whole Whole Food Days (0-5 Food Food days):
                                                              Food Food Supplements: Days
                                                         # Supplements: # Week #
                                                 # Supplements: # Supplements: using Whole (0-5
     5      0      3     0       5      0       0      0          05       0          0     5

        Cleansing/Toxicity: Cleansing/Toxicity: # of full-body last # of last # of cleansescleanseslast year:done indone in
                Cleansing/Toxicity: Cleansing/Toxicity: # of done in cleanseslast#year:last year:done in
                              # of full-body done in last year: Cleansing/Toxicity: of donefull-body cleanses
                                        # of full-body done in cleanses done in done in # of in
                                                  Cleansing/Toxicity: year:
                                                          Cleansing/Toxicity: year:
                                                                        Cleansing/Toxicity:
Cleansing/Toxicity: # of full-body cleansescleansescleanses full-bodyfull-bodyfull-bodyfull-body cleanseslast year:last yea
     0       0         1      0         0         0       0        0          00         0           0      1

        Daily ofDaily of Fresh Fruits/Vegetables: of Daily of Daily Daily Servings of Fruits/Vegetables:
                 Fresh Fruits/Vegetables: of Daily Fruits/Vegetables: Fresh Fruits/Vegetables:
                            Daily Fresh Fruits/Vegetables: Fruits/Vegetables:
Daily ServingsServingsServings ofServingsServingsServingsServingsServings of Fresh Fresh Fruits/Vegetables:
                                    Daily    Fresh Fresh Fresh of    Fruits/Vegetables:
      3       3       3     1       3        1       0        3           24         2           1       5

        Daily ofDaily ProteinsofServingsServingsServingsServingsServingsProteins Proteins
                 Lean of Lean (Chicken/Turkey/Fish), Non-Fried:Daily Non-Fried: (Chicken/Turkey/Fish), Non-Fried:
                            Daily Lean (Chicken/Turkey/Fish), Non-Fried: (Chicken/Turkey/Fish), Non-Fried:
                                    Daily of Daily Proteins Proteins Proteins of Lean Lean Proteins (Chicken/Turkey/F
                                             Lean of Daily (Chicken/Turkey/Fish), of
Daily ServingsServingsServings ProteinsProteins (Chicken/Turkey/Fish), Servings Non-Fried: (Chicken/Turkey/Fish), No
                                                               Lean of Lean
                                                      Lean of Daily (Chicken/Turkey/Fish), Non-Fried:
      1       2       1     1       1        2        2        1           23        2          2      2
Daily ServingsServingsServings ofGrains (as oppossedDaily ServingsServings(as WholeWhole or enriched): to or enriche
        Daily ofDaily ofGrains (as oppossedDaily Servings(asDailyorGrainsorGrainsorGrainsGrainsbleached, white, ble
                 Whole Whole ServingsServings of Wholeof Wholeofenriched): to white,to white,to or enriched): to w
                            Daily Whole Grains (as Grains GrainsDaily Servings bleached, (as oppossed bleached, o
                                    Daily of Whole oppossed oppossed to white, of (as oppossed (as oppossed
                                              to white, bleached,white, bleached, enriched): white,
                                                      to white, bleached, ofenriched): bleached,
                                                              to (as Whole oppossed
                                                                      oppossed
      1       2       1     0       0        1       1       0          03        3          3      3

Days per Week adhering to Daysadhering perDays perDays perDays DaysPlannedProgramcontent)content)ProgramProgr
        Days per Week adhering perDays to Planned ProgramWeek adheringadhering toProgramProgramDietary (eval
                Days per Week to Planned ProgramDietary ProgramProgramcontent) (0-5 to Planned (0-5 days): nu
                          Planned Dietary Dietary Week adhering toWeek Week adhering days): nutritional content)
                                   Week adheringadhering to Planned (evaluating nutritional (0-5 days): nutritional
                                           Week to Planned (evaluating nutritional (evaluating content) (0-5 day
                                                    (evaluating per Dietary (evaluating nutritional
                                                            Dietary per to Planned Planned (evaluating
                                                                nutritional Dietary Dietary Dietary (evaluating
      3       0       3   0       0       0       0       0           71        3            1      5

       Hours ofHours of Sleep per Average Evening:Hours ofHours of Sleep of Sleep per Evening:
                Sleep per Average Evening:Hours of Sleep per Evening:Evening:Evening:
                          Evening:Hours of Sleep per Evening: Average per
AverageAverageAverage Hours of Sleep per Average Average Average HoursHours of Sleep per Evening:
                                                            Sleep per
     7      7       6     7       6       7       7        6          88        8           6  7

       Wellness Evaluations
              Wellness Evaluations
MonthlyMonthlyMonthly Wellness Evaluations        Evaluations Monthly Wellness Evaluations
                                 Monthly WellnessMonthly Wellness Evaluations
                                          Evaluations     Evaluations
                         Monthly WellnessMonthly WellnessMonthly Wellness Evaluations
    1      1       1     1       1       1       1       0          10        1         1                0

       Weekly Chiropractor Visits: Weekly Chiropractor
               Weekly Chiropractor Visits: Weekly Chiropractor Weekly Chiropractor
Weekly Chiropractor Visits: Weekly Chiropractor Visits: Visits: Visits: Visits: Visits: Visits:
                                                             Weekly Chiropractor
                                                     Weekly Chiropractor
    3        0       1      2       2       3        0       0          02       0              2        3

       Massage TherapistMonthly MassageMonthly Monthly Monthly Therapist Visits:
              Massage TherapistMonthly Therapist Visits: Therapist Visits:
                         Visits: Visits: Visits: Therapist Visits:
                                                              Monthly Massage Therapist
MonthlyMonthlyMonthly Massage TherapistMassageMassageMassageMassage Therapist Visits: Visits:
    0      0      0     0        0       0       0      0           00      0           1     0

Annual Visits toVisits toVisits to General PhysicalPhysicalPhysicalAnnual Visits to General Practitioner for Physical E
       Annual Annual General Practitioner for to Practitioner fortoif annually): for Physical Physical Physical Exam (1,
                 General Practitioner for to Visits Exam (1, if Annual Practitioner (1,Exam (1,Exam (1,Exam (1, if annua
                             Annual Visits Practitioner for to Practitioner fortoif annually): for if annually):
                                     Annual General Visits Exam (1,Physical Physical if annually): for if annually):
                                              Annual General Visits Exam (1,Exam
                                                                annually):
                                                                        General General Practitioner
                                                      Annual General Visits Practitioner
     1         0        0    1       1        1       1         1            11         1             1      1

Annual Frequency of Complete Blood Complete Bloodof Complete AnnualComplete Blood Count(CBC) (1,(CBC) (1,(CBC
       Annual Frequency of Complete Bloodof Complete Blood annually): Blood annually): Blood Count Testing Testin
               Annual Frequency FrequencyTesting Annual(1,Testing (CBC) (1, (CBC) (1,(CBC) (1, Testing if annually):
                         Annual of CountAnnual Frequency if Count if annually): of Testing if annually):
                                 Annual Frequency CountAnnual Frequency if Count Complete Blood Count if an
                                           Count (CBC) Frequency ofCount of Complete
                                                 Testing (CBC)Blood Frequency if annually):
                                                                (1, Testing Testing
                                                           of Complete
     0       0       0   0       1       1       1       1           11        1             1       0

       Quarterly Blood Pressure(1,Quarterlyif quarterly): PressurePressurePressure(1, if quarterly):
                Pressure Blood Checks Checks (1,Quarterly Blood (1, if quarterly): Checks (1, if quarterly):
                          Quarterlyif quarterly): Pressure(1, if quarterly): (1, if quarterly):
Quarterly Blood QuarterlyChecks Pressure(1,Quarterlyif quarterly):Quarterly Blood Pressure Checks (1, if quarterly):
                                              Blood Blood Checks Checks
                                     Blood Pressure Checks Quarterly Blood Checks
     1        0      0    0        1        1       1       0           11           1          1    1

Annual practicing of Mineral Mineral Mineral of Mineral Balancing/Electrolyte Control (1, Mineral if annually): (1, if ann
       Annual practicing of Balancing/Electrolyte practicingAnnual (1, ifMineralifMineral Balancing/Electrolyte Control
                Annual practicing of Balancing/Electrolyte (1, ifMineral Balancing/Electrolyte(1, Balancing/Electrolyt
                           Annual practicing Balancing/Electrolyte practicing ofBalancing/Electrolyte(1, if annually):
                                   Annual practicing of Mineral Balancing/Electrolyte of if annually): Control
                                            Annual Control practicing of annually): Control Control
                                                    Annual Control Control (1, annually):
                                                              of annually):
                                                                  Annual practicing
     0        0       0    0       0        0       0        0           01         0            0       0

       Dental Wellness Assessment: Visits Assessment: AnnualDentist (0-2): Assessment:Visits Annual Visits (0-2
               Assessment: Annual Annual Annual Visits Assessment:Dentist Visits Dentist Visits Dentist
                         Dental Wellness to Dentist (0-2): to (0-2): Assessment:Dentist Annual Dentist
                                 Dental Wellness to Dentist Annual Wellness Assessment:
                                                                 Dental Annual Annual
Dental WellnessDental Wellness Assessment: Visits Assessment:Visits to Visits to(0-2): to(0-2): to(0-2): to(0-2): to Den
                                                  Dental Wellness
                                          Dental Wellness Dental Wellness
     2       1      1    1       2        2       1        1            22         1            1       2

        Vision Wellness Assessment: VisitsWellness toVisits(0-1): Annual Visits to Visits to Optometrist (0-1): (0-1):
                Assessment: Annual Annual Annual Optometrist (0-1):Wellness Assessment: Annual Visits to Opt
                           Vision Wellness to Optometrist to Optometrist Assessment: Annual Optometrist
                                            Vision Assessment: Vision Annual Optometrist (0-1):
Vision Wellness Vision Wellness Assessment: VisitsWellnessWellnessWellness(0-1): Annual Visits to Visits to Optometris
                                                    Vision Assessment:
                                                             Vision Assessment:
                                   Vision Assessment: Annual Visits to Optometrist (0-1):
      0       1       0    1       1        0       1        1          01           1           0       0

                                                                Today's Date
                 Today's Date (MM/DD/YY) Date (MM/DD/YY) Date (MM/DD/YY) (MM/DD/YY)
                                    Today's Today's Today's Today's
                            Today's Date (MM/DD/YY) Date (MM/DD/YY) Date (MM/DD/YY)
                 ###### ###### ###### ###### ###### ###### ###### ###### ##### ##### ####
             14 15          16       17            18          19   20   21   22   23   24

                 SandyGus Therea McCorkle
                       Grimes
            Mike Mueller Brecht     Ed Korber



                618.304.5855
     618.779.8357          618.971.5909
                     618.806.4501     618.344.1801



                grimeskl@att.net
                            samccorkle@itinet.com
                                      ekorber@att.net
     wolt29@aol.com asebrecht@gmail.com



                  Chiro-Works Practice Member
                        Practice Member Chiro-Works
                              Chiro-Works Practice Member
            Chiro-WorksChiro-Works Practice Member Practice Member



                      M
            Male Female ale Female              Male



               63    55      42            51            59



               70    62 73.75              67            66



              245 172       207      214.4             197.6

nce chart at right)
               182 132      176           150           151



             31.8 45.2      27.6      46.3              30.3

e (see reference chart at right)
             24.5 29.3 19.2           29.3              24.5



             29.9 23.9      33.2      23.9              31.5

Percentage (42-M/36-F)
              42 36          42            36            42

ly Gym Visits (0-5 days):
                0     0          0          0             0

ekly Club Interaction (0-5 days):
                 0     0      0           0          0

ekly League Activity (0-5 days):
                0      0     1            0          0

15 minutes or more sustained cardio, weekly (0-5 days):
               0     5     0           0           0

cular Exercise (do not duplicate totals from previous field): Weekly frequency (0-5 days):
                 0    0       0            0          0

s: # of Days focused on exercises (0-5 days):
                 0    0       0           0          0

ays focused on resets every 20-30 minutes (0-5 days):
                3    1       5         0            3

asses: Weekly Class Attendance (0-5 days):
                0     0     0           0            0

Running Events (5K or greater) within the Past Year:
                0     0      0           0           0

Personal Triner(s) (0-5 days):
                0      0       0          0          0

 vings of Water (a bottle is 2 servings):
                7     6        4          10         4

Servings of Sea Salt/Non-processed Salt (1/2 tsp per servilng):
                5     0     0            1           0

s: # Days per Week using Whole Food Supplements (0-5 days):
                0    0     0          0          5

ull-body cleanses done in last year:
                0    1       0            0          0

 uits/Vegetables:
                1      3      4         0.5          1

oteins (Chicken/Turkey/Fish), Non-Fried:
                2    2      2            1           2
Grains (as oppossed to white, bleached, or enriched):
                0     1      1           0            1

 to Planned Dietary Program (evaluating nutritional content) (0-5 days):
                3     3     5           0            2



                  7   6.5      8           7           7



                  1     1      1           1           1



                  0     0      2           1           2



                  0     0      0           0           0

Practitioner for Physical Exam (1, if annually):
                 1     1     1            1            1

mplete Blood Count Testing (CBC) (1, if annually):
               1     1       1            1            0

  Checks (1, if quarterly):
                  1     1      1           1           1

eral Balancing/Electrolyte Control (1, if annually):
                0     0      0             0           0

 ent: Annual Visits to Dentist (0-2):
                 2     1       2         0.5           2

 ent: Annual Visits to Optometrist (0-1):
               0.5 0.5       1            0            1



              #### #### ##### 7/18/2011 7/18/2011
25   26   27   28   29   30   31   32   33
34   35   36   37   38   39   40   41   42
43   44   45   46   47   48   49   50

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:11
posted:8/27/2012
language:Unknown
pages:128