Martina’s Spring Cut Client Information

Full Name*
Age*
Please enter a number from 5 to 120.
Gender*
- Male
- Female
Height (feet & inches)*
Bodyweight (lbs)*
What are your average daily amount of steps taken per day?
Please enter a number from 0 to 40000.
How many hours of "devoted" exercise do you get per week? (time spent with primary purpose being physical exercise)
Please enter a number from 0 to 40.
Do you have a smart watch or device that estimates total daily calorie output? If yes, what is your daily average calorie output?
Please enter a number from 0 to 10000.
On average, how many hours per day do you spend seated?*
Please enter a number from 0 to 24.
On average, how many hours of sleep do you get per night?*
Please enter a number from 0 to 24.
Are you currently taking any medications? If so, please list all current medications.