Phone: +085 (085) 7578777 | Email: anniefalvey4@hotmail.com | Born: October 29, 1969 | Age: 51 | Nationality: Ireland
Address: 11 Meadowlands
Moangarrif
Clonmel, Tipperary EirCode (optional)
Health Score: 1
Are you taking any prescribed medication?: Yes – Blood pressure tablets
What type of lifestyle do you lead?: Active
Do you consider your diet to be?: Adequate
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 – Walking
How do you rate your stress level?: Moderate
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?:
What are some of your health or fitness goals?: Weight loss
Have you ever tried to lose weight?: Yes
When?:
What have you done to achieve it?:
What has worked for you?:
What hasn’t worked for you?:
Parent’s/Guardian’s handwritten signature
Created: September 16, 2021 at 4:45 pm