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PRO FOUNDATIONS

Initial Assessment & Program Establishment

Performance. Recovery. Optimization.

Welcome to PRO Foundations. This initial assessment establishes your starting point and helps your PRO provider develop an individualized 90-day plan based on your goals, body composition, lifestyle, nutrition, activity, recovery, and other relevant health information.

Please complete this questionnaire and provide the requested baseline Hume data before your initial PRO Foundations appointment.

PART 1 — PATIENT INFORMATION

What are you primarily hoping to improve?

PART 2 — YOUR 90-DAY GOALS

Your goals do not have to be based only on body weight. Consider body composition, strength, energy, nutrition, sleep, activity, recovery, and overall health.

PART 3 — HUME EQUIPMENT SETUP

PRO Foundations uses Hume data to monitor changes in body composition, activity, sleep, recovery, and other health trends throughout your 90-day program.

Before your initial assessment, complete a current Body Pod measurement and sync your Hume Band with the Hume app.

If your Hume devices are new and do not yet have meaningful trend data, submit the available baseline screens now. Your trend data will become more useful during your 30-, 60-, and 90-day assessments.

PART 4 — BASELINE HUME DATA

Please provide your available baseline Hume screens. These measurements will be used as your starting point for comparison during your 30-, 60-, and 90-day assessments.

1. Current Body Composition

Upload your most recent Body Pod measurement showing as many available metrics as possible, including weight, body-fat %, fat mass, muscle/lean mass, visceral fat, and hydration.

2. Body Composition Overview / Starting Screen

Upload the Body Composition overview or trend screen currently available in your Hume app.

3. Activity

If available, upload the screen showing your current activity, daily steps, or activity trend.

4. Sleep

If available, upload your current Sleep screen.

5. Recovery / HRV

If available, upload your current Recovery / Readiness / HRV screen.

6. Heart / Cardiovascular

If available, upload the screen showing resting heart rate and other cardiovascular or fitness metrics.

PART 5 — NUTRITION BASELINE

Current nutrition challenges
Current digestive concerns

PART 6 — EXERCISE & ACTIVITY BASELINE

PART 7 — SLEEP, ENERGY & RECOVERY BASELINE

Current sleep concerns

PART 8 — CURRENT SUPPLEMENTS

PART 9 — WEIGHT / METABOLIC MEDICATIONS

Current side effects or concerns

PART 10 — PEPTIDE / OPTIMIZATION THERAPY

PART 11 — HEALTH & MEDICAL CHANGES

This section helps identify health factors that may affect your nutrition, activity, body composition, or PRO Foundations plan.

Optional Laboratory Results

Upload recent laboratory results if they are not already available to your PRO provider.

PART 12 — CURRENT BARRIERS

What factors currently make it more difficult to reach your goals?

PART 13 — ESTABLISHING YOUR PRO FOUNDATIONS PLAN

Select the three areas you believe should receive the highest priority during your first 30 days.

FINAL CHECKLIST

Before submitting your initial assessment, confirm that you have completed the available setup steps.

SUBMIT YOUR INITIAL ASSESSMENT

Your PRO Foundations initial assessment includes your completed questionnaire plus your available baseline Hume screenshots and any applicable supporting documents.

Additional Documents / Screenshots

If you have additional Hume screenshots, laboratory reports, or other relevant documents that were not included in the sections above, you may attach them here.

Hume Screenshots & Attachments

Selected images will be automatically compressed on your device before email submission.

  • No files selected
Attachments: 0.00 MB / 8.00 MB

Maximum combined attachments: 8 MB across all upload fields. PDF files are not compressed. If attachments remain too large, use the PDF + OnPatient submission option.

Option 1 — Submit by Email

For convenience, you may submit this questionnaire and the files selected above electronically to the PRO Sports Medicine team at admin@arizonasportsmed.com for review before your appointment.

Option 2 — Download PDF + OnPatient

If you prefer not to submit your health information through email, download a PDF copy of your completed questionnaire and upload it through your OnPatient portal.

The downloaded PDF contains your questionnaire responses only.

Your Hume screenshots and laboratory files are not included in the PDF.

After saving the questionnaire PDF, upload the PDF and each original Hume screenshot separately through your OnPatient portal.

Files to Upload Separately With Your PDF in OnPatient

Current Body Composition screenshots
Body Composition overview / starting screens
Activity screens, if available
Sleep screens, if available
Recovery / HRV screens, if available
Heart / cardiovascular screens, if available
Recent laboratory results, if applicable
Additional supporting documents, if applicable

Please upload the original screenshots individually. Do not combine the screenshots into the questionnaire PDF.

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BPC Oral - 60 Count (REGEN-1)

$150.00 USD
$150.00 USD

Pickup available at PRO Sports Medicine Tempe

Usually ready in 2-4 days

BPC Oral - 60 Count (REGEN-1)

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PRO Sports Medicine Tempe

Pickup available, usually ready in 2-4 days

2034 E Southern Ave unit o
Tempe AZ 85282
United States
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