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Adult pre-exercise screening
Adult Pre-Exercise Screening System
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 /exercise?
Do you ever feel faint, dizzy or lose balance 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?
Please write your name
Email me a copy of my responses
Exercise readiness for Adolescent and children
Exercise Readiness for Children & Adolescents
Has a GP or AHP referred your child?
Do any of the following medical or physical conditions apply to your child? Tick all that may apply
Is your child currently taking any medications?
In the last 6 months has your child had any of the following (tick all that apply)
Does your child have any chronic disability or illness?
Does your child have difficulty/problems with one or more of the following
Is your child allergic to any foods, medications, pollens or allergens?
Does your child follow a special diet?
Has your child ever been diagnosed with a nutritional deficiency?
Has your child has surgery in the last 12 months?
Informed Consent
I hereby acknowledge that the information provided above regarding my child's health is to the best of my knowledge, correct. I will inform the trainer immediately if there are any changes to the information provided above.
Expression of interest
Expression of Interest
How soon are you looking at Personal Training?
Preferred Training Time
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Find your why
Find your why
Protein Guide
Protein Guide
Training and Nutrition check in
Training and Nutrition Check In
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Rate your energy this week
Rate the quality of your sleep this week
Rate your stress this week
Rate your water intake this week
Rate your nutritional intake this week
Rate your training compliance this week