HGH-Pro HGH Therapy
Progress Form |
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| NAME_______________________ | MONTH_______________ |
DATE________ |
||
Please circle the product you are taking: |
ProBLEN HGH Plus IGF-1 & IGF-2 |
ProBLEN HGH |
||
Present Condition |
Week_______ |
Week_______ |
Week_______ |
Week______ |
| Dreaming During Sleep | ||||
| Sleep Quality | ||||
| Energy Level | ||||
| Stamina, Endurance | ||||
| Strength | ||||
| Muscle Tone | ||||
| Mobility | ||||
| Weight | ||||
| Memory | ||||
| Mental Attitude | ||||
| Depression (if applicable) | ||||
| Eyesight | ||||
| Other Senses (hearing, smell, etc.) | ||||
| Hair (condition) | ||||
| Hair (color) | ||||
| Skin (condition) | ||||
| Skin (wrinkles) | ||||
| Nails (condition) | ||||
| Nails (growth) | ||||
| Health Conditions | ||||
| Present Injuries | ||||
| Past Injuries | ||||
| Healing/Recovery | ||||
| Libido (sexual interest) | ||||
| Sex (performance) | ||||
| Digestion/Elimination | ||||
| Urinary System | ||||
| Cold/Flu Frequency | ||||
| Allergies/Allergic Reactions | ||||
| 0= No Change | 1= Slight Improvement | 2= Fair Improvement | 3= Good Improvement | 4= Excellent Improvement |
| Comments
created by Lisa Wells, RN, HGH-Pro | ||||
Please print out several copies of the form above. By using your printer to print "page 1" you
should be able to print the entire form on one sheet of paper. Each one form
covers a 4 week period. Please fill in the month and week of therapy you are recording and the dates.
Please also circle which of the products you are taking.
We are always interested in knowing the specifics
about how our clients are doing with their HGH therapy, so we will appreciate any
client who sends us a copy of their completed progress forms.
HGH-Pro
ATTN: Lisa Wells, RN
5637 Hazeltine Ave, Suite 114
Van Nuys, CA 91401
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