Name
Customer Information
First Name
*
Last Name
*
Email Address
*
Phone Number
*
Select Service
Learn about each test and how to prepare on
our services page
.
Service(s)
*
DXA Scan
Bioelectrical Impedance Analysis
Resting Metabolic Rate
3D Optical Scan
BODPOD
VO2Max Test
Select any services you’d like to schedule for this one appointment. Some require screening questions.
Expected Time (Minutes)
General Health Questions
Height (in)
*
Weight (lbs)
*
Age
*
Assigned sex at birth
*
Male
Female
Are you currently on any medications?
*
Yes
No
Additional Questions
What is the purpose of having your body composition assessment?
*
Overall weight loss to be healthier
Weight loss for aesthetic reasons
Interested in performing at a higher level
Select which option applies best.
How did you hear about the Shepherd Body Composition Research Lab?
Internet Search
Facebook
Instagram
Yelp
Website
Friends or Family
Trainer or Coach
Are you interested in being contacted for studies?
Please contact me about research studies at the Shepherd Body Composition Research Lab