Free Health Assessment Test Template
Health Assessment Test
Please complete this test to help us evaluate your overall health and well-being.
Name
Date of Birth
Please provide your email address.
1. Do you have any existing medical conditions?
If yes, please specify.
2. Are you currently taking any medications?
If yes, please list them.
3. How often do you engage in physical activity?
-
Daily
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2-3 times a week
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Rarely
4. Describe your typical daily diet.
5. What activities or practices do you use to manage stress?
Please check the box below to proceed
Thank you for your submission!
We appreciate you taking the time to submit.
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