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Before you start (important).

Please complete the short health questionnaire below before your first session. This helps us make sure exercise is suitable for you.

Name:

Contact Number:

1. Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?

A
B

2. Do you ever feel pain in your chest when you do physical activity?

A
B

3. Have you ever had chest pain when you were not doing physical activity?

A
B

4. Do you ever feel faint or have spells of dizziness?

A
B

5. Do you have joint problems which could be made worse by exercise?

A
B

6. Have you ever been told that you have high blood pressure?

A
B

7. Are you on any medication of which the instructor/s should be made aware?

A
B

Are you pregnant or have had a baby in the last 6 months?

A
B

Has your doctor or midwife advised you that you can safely participate in exercise?

A
B

If you answered YES to any question:Please consult your doctor before exercising.

If you answered NO to all questions:You can begin a suitable exercise programme. Start gradually and build up over time.

If your health changes:Please inform your fitness professional before continuing.

Informed consent:

I understand that exercise involves some level of risk, including the possibility of injury. I confirm that I am voluntarily participating in exercise and will follow the instructions of my fitness professional. I understand that I should inform my fitness professional of any changes to my health or circumstances that may affect my ability to exercise safely.

* I confirm that the information I have provided is accurate and complete to the best of my knowledge, and I understand that I should inform my fitness professional if my health changes.

All done! Simply sign below and you'll be directed to the booking and confirmation page.
We'll be in touch via text to confirm your start date and send all relevant information.
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