Clone of HQ TRAINING - PRE SCREEN FORM

HQ TRAINING - PRESCREEN FORM
Name

First NameLast Name

Email
example@example.com

Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

Has your doctor ever told you that you have a heart condition or have you ever suffered a stroke?

Do you ever experience unexplained pains in your chest at rest or during physical activity / exercise?

Do you ever feel faint or have spells of dizziness during physical activity / exercise that causes you to lose balance?

Have you had an asthma attack requiring immediate medical attention at any time in the past 12 months?

If you have diabetes (type 1 or type 2) have you had trouble controlling your blood glucose in the past 3 months

Do you have any diagnosed muscle, bone or joint problems that you have been told could be made worse by participating in physical activity / exercise?

Do you have any other medical conditions that make it dangerous for you to participate in physical activity / exercise?

Is there any reason you can think of why you shouldn’t participate in physical activity / exercise?

If you answered yes to any of the questions or have any other injuries or illness that may inhibit before you commence please list the reasons below:

EQUIPMENT LIST - INPUT ALL YOU HAVE ACCESS TO. ALSO INPUT ANY EXERCISES YOU GENUINELY DISLIKE (BECAUSE THEY ARE HARD DOESNT COUNT)
Put all in please.
what are your main goals?

Please elaborate. Why is weight loss/ getting stronger important to you etc
😁

I consent to everything being correct as stated. No responsibility or liability whatsoever can by accepted HQ Training trainers for any loss, death, damage or injury that may result from acting on a statement contained in this questionnaire or while conducting physical activity. I agree to the 12 week minimum training term.
Should be Empty: