What is your age?

• 20-29
• 30-39
• 40-49
• 50-59
• 60-69
• 70-79
• 80+

What is your weight?
lbs.

What is your height?

Select Height 5' 0" 5' 1" 5' 2" 5' 3" 5' 4" 5' 5" 5' 6" 5' 7" 5' 8" 5' 9" 5' 10" 5' 11" 6' 0" 6' 1" 6' 2" 6' 3" 6' 4" 6' 5" 6' 6" 6' 7" 6' 8" 6' 9" 6' 10" 6' 11" 7' 0"

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What most accurately describes your current body?

• High muscle definition (low body fat)
• Some muscle definition
• Little to no muscle definition
• No muscle definition (high body fat)
  
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What most accurately describes your experience with steroid use?

• methylated steroids
• injectable steroids
• non-methylated pro hormones
• none

Check the boxes that apply three (3) or more days a week:

• Trouble sleeping
• Financial stress
• Job Stress
• Health stress

Which of the following reflects your current level of exercise?

• No excercise
• Powerlifting (explosive, 1-6 reps)
• Lifting / Aerobic (moderate, 8-20 reps)
• Long distance aerobic (high mileage endurance)
  
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Check the boxes that apply currently, or in the past:

• Smoker
• Married
• Fathering Children
• High blood pressure
• Gyno (a.k.a. "gynecomastia" or "male breasts")
• Gyno irritation (swollen, tender or itchy nipples)

Which most accurately completes this sentence?

I can carry a load ________ my body weight the width of a basketball court (over the shoulder).

• double
• equal to
• less than
  
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Where do we send the results?

email: 

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