General Health: (Yes/No)
Do you, or have you suffered from any of the following: (Yes/No)
If you have answered Yes to any of the conditions above you please take this form to your GP and ask for clearance to exercise before starting with any exercise programme.
Have you ever had or do you suffer from: (Yes/No)
Any pain or major injuries particularly in the following areas? (Yes/No)
Please read the following exercise advice carefully
When beginning a new exercise work at a low level, concentrating on how to do the exercises correctly. When you are comfortable you can work a little harder each time you train. Be sure to limit yourself to a pace where you can still talk comfortably. Should you suffer any injury, illness or condition in the future, please inform your instructor.
I recognise that my instructor is not able to provide me with medical advice with regard to my medical fitness and that this information is used as a guideline to the limitations of my ability to exercise. I have answered the questions to the best of my ability and understand the advice above. I am aware that any physical activity can be hazardous and that there is a risk involved.