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First Name
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Please enter first name
Last Name
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Please enter last name
Email
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Please enter valid email
Gender (Identify As)
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Female
Male
Birthdate
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Please enter your birth date
Weight
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Height
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Password
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Your password must be at least 6 characters and contain all of the following types of characters: Letters, Numbers, Special Characters (i.e. ! @ # $ % etc.)
Confirm Password
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Password does not match
Daily Activity Level / Occupational Level (To establish Caloric Need)
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Minimal Activity -
Little to no movement during a typical day. (ex: Desk job, therapist, etc.)
Light Activity -
Standing a large portion of the day. (ex: Cashier, salesperson, etc.)
Moderate Activity -
Standing and walking most of the day. (ex: Retail, stay at home parent, etc.)
Heavy Activity -
Lifting heavy objects frequently during the day. (ex: Construction, warehouse worker, etc.)
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