Forum to Longevity
Please answer each question honestly and to the best of your abilities. If you're unsure of the answer to any of the questions listed below, please put "unsure".
First Name
Last Name
Email
Phone Number
Address
Do you take any medication?
Short term/long term goals?
Do you smoke?
Yes
No
Do you drink?
Yes
No
Blood Type?
Body Type?
Diseases that run in the family? (if any)
Foods you eat on an average day?
Past or present injuries?
Past or present injuries?
Amount of hours spent sitting per day?
Amount of hours you sleep?
Rest heart rate?
Additional Info/Comments:
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