Health Questionnaire

Fill out the below health questionnaire. This gives us an idea of your health and allows us to access your starting point.

  • Date Format: MM slash DD slash YYYY
  • Your Measurments

    Please be sure you watch the below video on how to accurately take your measurements.
  • Drop files here or
    Accepted file types: jpg, png.
    Upload up to 3 images of yourself. Photos will not be shared (unless given permission). It is highly recommended to submit photos though as your final report will have Pre & Post KICK START photos!

    Needed photos: Full front view & both side views

    Suggestions for the photos:

    - Wear clothing that reveals the body contour. Women can wear sports bra/tank top & shorts/leggings and men can wear no top/tank top & shorts.

    - Take in a well-lit area, preferably with more natural light
  • This field is for validation purposes and should be left unchanged.