INTRAFITT Individualized Medical / Metabolic Acquisition Forms

If you answer yes to any of the following questions numbers 1-15, it is strongly advised that you obtain your/a physician's written consent before beginning this or any other nutrition and exercise program

Individual Physical Statistics and Level of Fitness

*NOTE: If you do not know your current body fat % or do not have access to skin callipers, please submit the measurements of your neck (just below the level of larynx/adam's apple), hip (where the buttocks protude backward the most), and waist (at the point of min abdominal circumference) in inches above.

Individual Physical Statistics and Level of Fitness