F45 Sumter Health History Questionnaire

F45 Training Sumter

We look look forward to getting to know you better!
Please take a few minutes to answer the following questions.
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Occupation
Medical Considerations
It is our professional duty of care to ask all participants, no matter what age, to complete the following questions. Select those that are relevant to you.
Date

MonthDayYear
Date
Signature
Pre-Exercise Screening

Lifestyle and current exercise habits
Are you currently exercising?
If yes, please give details
How many days per week did you average in the last month?
Which best describes your goals?
Marketing
I agree to allow F45 to use pictures, videos or the like for potential marketing material
Signed
Date

MonthDayYear
Date
Statement
I recognize that the instructor is not able to provide me with medical advice with regard to my fitness, and that this information is used as a guide to establish the limitations of my ability to exercise. I have answered questions to the best of my ability and understand the above.
Signed
Date

MonthDayYear
Date
Should be Empty:

F45 Training Sumter