Holly O Shea


Phone: +353 (086) 8411657 | Email: michelleahearne@gmail.com | Born: October 24, 2012 | Age: 8 | Nationality: Ireland

Address: 9 Oak Park
Clerihan
Clonmel, Tipperary EirCoE91X253 de (optional)

Health Score: 6

Have you ever been advised not to take physical exercise?: Yes
Are you pregnant, have been pregnant in the past 6 months?: Yes
Do you have any condition that would require a doctor’s approval to participate in practicing jumping?: Yes
Are you taking any prescribed medication?: Yes – NA
Have you had any major injuries/surgery (Including Caesarean) in the last 3 years: Yes – NA
Do you have any chronicle problems?: Yes – NA


Lifestyle

What type of lifestyle do you lead?: Active
Do you consider your diet to be?: Good
How much water do you drink in a day?: More than 1 litre
How ready are you to make changes in your diet and lifestyle?:
Do you currently participate in regular exercise?: Yes – Swimming
How do you rate your stress level?: Low
Do you have any injuries which may interfere with exercising?: No
How much sleep do you typically get?: Very good
Do you smoke?: No
Why do you think it has been difficult for you to achieve your goals?: NA
What are some of your health or fitness goals?: Have a fun
Have you ever tried to lose weight?: No

Parent’s/Guardian’s handwritten signature


Created: June 27, 2021 at 9:16 am

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