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MALE INTAKE FORM

Hello, Friend!

Welcome to your first step toward a healthier, happier you! This questionnaire is designed to help me get to know you better so I can create a personalized plan tailored to your unique needs. Remember, meaningful change happens one small step at a time, and those small steps lead to lasting habits.

By filling out this form, you’re giving me the insight needed to assess which changes will benefit you the most—and together, we’ll walk this journey step by step. I’m here to support you every step of the way!

HOSAY HEALTHVERSE © 2025

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