Your personal health and well-being advice

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Welcome to the myQuickHealth anamnesis form. Thanks for checking out our service, our goal is to get to know you enough so we can give you good advice to achieve your well-being goals. This form will get you started towards your personal health advice so please take your time and give us the insight we need!

tell us about you and your goals

age

weight [kg] (approx.)

height [cm] (approx.)

previous injuries (sport-, work or everyday life related)

yes

previous injuries (if applicable)

current level of pain caused by injuries (if applicable)

low

unbearable

Clear selection

injury-related restriction in movement or exercise (if applicable)

what are you most interested in?

to eat more healthy.

to be more flexible.

to find new or good exercises.

to gain more mobility.

to gain weight. (muscle mass)

to loose weight.

to improve posture.

how active are you in your everyday life?

sedentary lifestyle

athletic lifestyle

Clear selection

what sports equipment do you have access to?

Clear form

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