In case of emergency, who should I contact?

Name:

Contact number:

Relationship to you:

Disclaimer: If you have answered no to all of the above questions and you are confident that you have no other concerns with your health then you may proceed to participate in physical activity. IF YOU ANSWERED ‘YES’ to any of the above questions, please seek guidance from an appropriate allied health professional or medical practitioner to obtain a clearance to exercise prior to undertaking personal training activities with Tenacious Fitness. If you are unsure please feel free to contact Emma on 0407 800 649 or emmakearton@hotmail.com and we can discuss it together.

To the best of my knowledge that all of the information I have provided on this pre exercise screening questionnaire is accurate. In the case that my medical or health condition changes over the course of my fitness training I will inform Tenacious Fitness at the earliest convenience and update my details with a new pre exercise screening questionnaire.