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Health Status Assessment

Height (ft) *

Height (in) *

Weight (lb) *

Age (y) *

Gender *      Female      Male

Exercise / Workout Level * --- None (stay in bed all day) Sedentariness (very little) Light (1 to 3 days per week) Moderate (3 to 5 days per week) Hard (6 days per week) Non-Stop (You are Energizer Bunny)

Waist (in) *

Wrist (in) *

Hips (in) *

Forearm (in) *