RETATRUTIDE WEEKLY FOLLOW UP

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RETATRUTIDE WEEKLY FOLLOW UP. Please complete. On ratings, 1 is unsatisfactory, 2 is semi-unsatisfactory, 3 is no opinion either way, 4 is satisfactory, and 5 is very satisfied

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FIRST & LAST NAME: *

TODAY DATE: *

# OF WEEKS ON RETATRUTIDE: *

E-mail address: *

ON A SCALE OF 1-5 USING RATING ABOVE, HOW SATISFIED ARE YOU WITH THE RETATRUTIDE PROGRESS: *

WHAT OTHER SUPPLEMENTS/MEDICATIONS ARE YOU CURRENTLY ON: *

WHAT SIDE EFFECTS (IF ANY) HAVE YOU NOTICED SINCE BEING ON RETATRUTIDE: *

WHAT BENEFITS (IF ANY) HAVE YOU NOTICED SINCE TAKING RETATRUTIDE: *

HOW OFTEN DO YOU WORKOUT? (# OF DAYS AND LENGTH OF TIME) *

HOW MANY ALCOHOL BEVERAGES DID YOU HAVE THIS WEEK? *

CURRENT WEIGHT: *

CHEST MEASUREMENTS: *

WAIST MEASUREMENTS: *

HIP MEASUREMENTS: *

I UNDERSTAND I AM TO EMAIL FRONT/SIDE/BACK PHOTOS FROM THE NECK DOWN SHOWING MY STOMACH TO PEPTIDES@KAISERMEDICALMANAGEMENT.COM EVERY FRIDAY *

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