BODY COMPOSITION ANALYSIS

First and Last Names: Date: Birth Gender: Male Female Age (yrs): Height (cm): Weight (kg): Neck Circumference (cm): Waist Circumference (cm): Hip Circumference (cm): Body Type: Ectomorph Mesomorph Endomorph Date of Last Menstrual Period (if female): Are you on hormone replacement therapy? Yes No How many times do you train per week? Do you have any known medical conditions? Yes No Are you taking any medications? Yes No Ever had surgery in your life? Yes No Date of Last Surgery (if applicable): Are you taking any supplements? Yes No Do you take coffee? Yes No How many hours do you sleep per day? How many times do you normally eat per day? Are you on birth control? (if female): Yes No Have you ever been pregnant? (if female): Yes No Number of years since last pregnancy (if female): Analyze