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First and last name?
   
 
 
 
What is your gender?
 
Male
 
Female
 
 
 
Do you have any health related conditions such as asthma, diabetes, etc. that have a negative effect on your physical performance abilities? If so, please state the condition(s).
   
 
 
 
What is your height in feet and inches?
   
 
 
 
What is your weight in pounds?
   
 
 
 
About how many hours per week do you intentionally engage in activities or hobbies that can be considered a sport, physical activity, or exercise?