Health Assessment
HealthCoach is a program created by RIVER (a nonprofit aimed at branching the gap between preventative health and medical treatment for underserved communities in the Sacramento and Davis areas). The aim of this assessment is to gather preliminary information from participants who would like to participate in this program.

More details about our program:
https://docs.google.com/document/d/1yb6mRb_mXnkqxr8QrUrEMSx8OnKfKVvQheu4admc6sA/edit?usp=sharing 
Увійдіть в обліковий запис Google, щоб зберегти надані відповіді. Докладніше
Name *
Email *
Phone *
Best Point of Contact *
Participant Information
The following information should be filled to the best of your knowledge with the most recent information regarding your health. If answer is not applicable please write "None."  
Age *
Known Allergies *
Known Health/Physical Conditions that could prevent you from exercising *
Please describe the health goals you would like to work on *
Reminders
-Please check in with your healthcare provider before beginning any new exercise or nutrition program.
-Discontinue exercise or nutrition program if you feel any discomfort
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Цю форму створено в домені UC Davis. Повідомити про порушення
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