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© 2022 Meathead Athletics.

Basic Info

Tell us a little about yourself.

in/cm - please label
kg/lbs - please label

Health History

Please answer the following questions.

Has a doctor diagnosed you with a heart condition?
Do you experience sharp pain or extreme tightness in your chest in cold temperatures?
Do you have or have you had diabetes, hypertension, or high blood pressure?
Does anyone in your family have diabetes, hypertension, or high blood pressure?
Have you experienced rapid heartbeat or palpitations?
Have you ever or do you take medications or been on a special diet to lower cholesterol?
Are you overweight?
Are you under excessive stress?
Do you drink?
Do you have a physical condition, impairment, or disability (including a joint or muscle problem) that should be considered before you begin a nutrition program?
Do you have any food allergies or intolerances?
Have you been diagnosed with an eating disorder?

Lifestyle Info

Just a few more things we need to know.

Do you cook?
2022 Meathead Athletics ®