Njawatech Solutions

We deal with custom website solutions consisting of but not limited to web design and development, SEO, SEM, analytics, social strategy and conversion optimization,CMS Customization(Wordpress,Joomla,Drupal,Presta Shop,Magento)

If you are looking to lose weight, then a weight loss consultation might be appropriate for you

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Healthy History Form

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Welcome to your Health History Form

1. Your Name
2. Your Mobile Number
3. History of hearth problems,chest pain or stroke
4. Elevated Blood Pressure
5. Any Chronic Illness or Condition
6. Difficulty with physical exercise
7. Recent Surgery ( e.g. General Operation,C-Section( Cesarean delivery)
8. History of breathing or lung problems e.g. asthmatic
9. Muscle,Joint or Back Disorder  or any previous injury still affecting you
10. Cigarette Smoking Habit
11. Diabetic
12. History of heart problems in immediate family
13. Any Additional Information you would like to add (Comments,Questions,Suggestions)

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