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EXpo Form

Health expo form

Uploaded by

rueytut2021
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17 views1 page

EXpo Form

Health expo form

Uploaded by

rueytut2021
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Name: ___________________ Age ______ Sex _____ Religion: _____________ Name: __________________ Age _____ Sex _______ Religion:

___ Sex _______ Religion: _____________


Height ____________ Weight __________ Height ____________ Weight __________

Nutrition: ________ _________________ Nutrition: ________ _________________


Blood Glucose Blood Glucose

Exercise: _________ __________________ _________________ Exercise: _________ __________________ _________________


Resting Pulse Rate After 3 Min Exercise Resting Pulse Rate After 3 Min Exercise
Water: ___________ __________________ Water: ___________ __________________
Hydrotherapy Hydrotherapy

Sunlight: __________ __________________ Sunlight: __________ __________________


Blood Pressure Blood Pressure

Temperance: ________ __________________ Temperance: ________ __________________


BMI BMI

Air: ____________ ___________________ Air: ____________ ___________________


Peak flow meter Peak flow meter

Rest: ___________ __________________ Rest: ___________ __________________


Massage Massage

Trust In God: __________ __________________ Trust In God: __________ __________________


Consultation Consultation

Health Consultation: ____________________ Health Consultation: ____________________

Normal: 115 - 120/75 - 80 mmHg Normal: 115 - 120/75 - 80 mmHg

Pre-Hypertension: 120 – 139/80-89 Pre-Hypertension: 120 – 139/80-89


mm/Hg Normal: 70 – 100 mg/dL mm/Hg Normal: 70 – 100 mg/dL

Hypertensive: > 140/89 mmHg Pre diabetic: 100 – 125 mg/dL Hypertensive: > 140/89 mmHg Pre diabetic: 100 – 125 mg/dL

Diabetic: > 126 mg/dL Diabetic: > 126 mg/dL

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