SWEAT CLUB Health Q + Waiver

Welcome to Sweat Club By LSPT - let's get you confident, fit, feeling good & happy :)
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Clients information - Health questionnaire
Please read the questions carefully and answer each one honestly: check YES or NO.

If you have ticked YES to anything below - a doctors clearance will be required.

	Yes	No
Do you ever feel faint, dizzy or lose balance during physical activity/exercise?
Has your medical practitioner ever told you that you have a heart condition or have you ever suffered a stroke?
Do you ever experience unexplained pains or discomfort in your chest at rest or during physical activity/exercise?
Have you had an asthma attack requiring immediate medical attention at any time over the last 12 months?
If you have diabetes (type 1 or 2) have you had trouble controlling your blood sugar (glucose) in the last 3 months?
Do you have any other conditions that may require special consideration for you to exercise?
If yes to any other conditions please obtain a doctors cert for clearance