Sample Form For A Basic Self Health Check Up

Use our SAMPLE FORM below to see how easy it is to fill in your health data.  Any information you enter will NOT be saved and WILL BE ERASED, after you exit this web page.  

To enter and SAVE your own health data on this form, you must:

  1. Create an account on our website, or Log in as a returning customer,
  2. Purchase this item for only $14.99, and Add to Cart now!
  3. You will then get access to a safe and secure site where you can start your Basic Self Health Check Up and access to the body part that you want to Play With YourSelf.
  4. Enter your own vital signs and use our (BMI) Body Mass Calculator


                         SAMPLE FORM

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Use the drop down menu to select your human body part or health problem.  Click Here