HGH-Pro HGH Therapy Progress Form
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NAME_______________________

MONTH_______________

DATE________
thru__________

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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