GOBO Trial Coordinators Clinic Form "*" indicates required fields Trial Coordinator name* Participant ID* Timepoint* Baseline Week 2 Week 4 Week 6 Screening NumberProduct Number*Clinic MeasurementsWaist Measurement (cm)Hip Measurement (cm)WtH Ratio (will automatically calculate)Height in metres*Please enter a number from 1 to 3.Weight in KGs*Please enter a number from 1 to 175.BMI (will automatically calculate)VitalsHas the participant been seated for 5 minutes prior to testing Blood Pressure? Yes No Blood pressure - systolic*Blood pressure - diastolic*Heart Rate*02 Saturation*Clinic testingParticipant drug test results* Positive for drug use Negative for drug use Participant pregnancy test results?* Positive for pregnancy Negative for pregnancy Clinic tasksQuestionnaires Food Frequency Pathology Full blood test complete Next appointment scheduled? Yes No (please send scheduling link) Check-in questionsHave you had any changes to your regular diet or exercise routine? Yes No Please outline any changes :Have you missed any doses of study product? Yes No How many missed doses? AEHave you experienced any issues or unwanted effects? Yes No Is this issue or event related to a previous medical condition before you started the study?*If No, then complete an Adverse Event Form. Yes (see next question) No (requires an AE Form) Is it worsening or as usual?*If Yes, then complete an Adverse Event Form. Worsening (requires an AE Form) As usual (does not require an AE Form) Have you changed or added any new medication/supplements etc?If the medication/supplement was in relation to an unwanted effect (not already noted above), please re-check the above previous questions to check if an AE Form is also required. Yes (requires con med form) No FinalStudy product bottles returned? Yes No Number of capsules remaining? Did you think you were on the Active or Placebo product? Active Placebo Based on your experience, would you use the product again? Yes No Do you have any feedback about the product?For example: how they found the size of the capsules, number of capsules or any other comments. Have the participants payment details been collected? Yes No (please request via email)