Documentary Interview Interest - Hyper-responders
IMPORTANT (1 of 2): Please fill this out carefully and honestly.

IMPORTANT (2 of 2): Please be aware you may or may not be contacted after submission. If you are not contacted, keep a close eye on the primary blog post that we'll continually update: CholesterolCode.com/documentary . On this post will be the latest news as it relates to this process, including any schedule updates or changes.
First Name *
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Last Name *
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Profession/Job *
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Email *
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Age *
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Gender *
City *
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Country *
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Scheduling
Please specify when you'd be available to interview during the visit -- or if available at all the times we listed, simply write in, "full availability"
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Previous Bloodwork
Please fill out the details on your MOST RECENT cholesterol blood test
When was this test taken? *
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Were you water-only fasted for 12-14 hours before the cholesterol test? If not, write in how long. *
In what units are your blood measurements? (usually mg/dL in the US, mmol/L outside the US) *
Total Cholesterol: *
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LDL Cholesterol (LDL-C): *
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HDL Cholesterol (HDL-C) *
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Triglycerides (TG) *
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Diet and Lifestyle
Diet *
Exercise level *
Background
Tell us about yourself in one paragraph. *
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In your own words, tell us why this subject is important to you. *
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(Optional) If you have any additional comments or notes, feel free to write in here.
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