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Health Assessment Report

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Health Assessment Review Report
About You - Step 1 of 7

1. About You

Please complete all fields.
Height in Meters
Weight in Kg
Waist Size in Centimeters
Is there a family history of any of the following: Heart and circulatory disease, heart attack, heart failure, atrial fibrillation, stroke? (immediate family members i.e Grandparents, parents, brothers, sisters)