30 DCC Check-In Form End of Challenge

This form is to be completed before we start the challenge

DD slash MM slash YYYY
Name(Required)
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Your Metrics

The following are optional metrics. Score how you would rate the following on a scale of 1 to 5. Where 1 is low/not good and 5 is the best it could be. These scores are subjective to you.
Please enter a number from 0 to 5.
How good would you consider yourself in terms of movement?
Please enter a number from 0 to 5.
Please enter a number from 0 to 5.
Please enter a number from 0 to 5.
Please enter a number from 0 to 5.
Low score means little or no pain. High score lots of pain.
Please enter a number from 0 to 5.
Please enter a number from 0 to 5.
How well have you been sleeping?
Please enter a number from 0 to 5.

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