Section 1 of 10: General Health
What is your gender?
Male Female
What is your race/ethnicity?
Asian African American Hispanic/Latino Native American White/Caucasian Other
What is your height?
feet inches
What is your weight?
lbs
What is your date of birth?
Body Composition
1. What is your body fat percentage? % (i.e. 12%) I do not know2. What is your waist circumference? inches (i.e. 34 inches) I do not know
Blood Pressure
1. What is your blood pressure? Systolic / Diastolic I do not know2. What is your pulse? Resting Pulse bpm (beats per minute) I do not know
Blood Tests
Non-fasting 1. What is your HbA1C? % I do not know2. What is your PSA level? I do not know This does not apply to me
3. What is your cholesterol level? Total mg/dL HDL mg/dL LDL mg/dL I do not know
4. What is your triglyceride level? mg/dL I do not know
4. What is your glucose level? mg/dL I do not know
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