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Cherrybrook
Pennant Hills
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Pre Exercise Questionnaire
Pre Exercise Questionnaire.
Date of Birth
DD
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How did you hear about the sessions?
Friend
Trainer
Facebook
Banner
Google
Others
What venue do you want to train at?
All Venues
Cherrybrook
Pennant Hills
Do you suffer from?
Arthritis
Heart Condition
Asthma
Diabetes
High/Low Blood Pressure
High Cholesterol
Epilepsy
Liver/Kidney Condition
Heart Trouble
Bone or joint problems
Muscle Tension
Chest Pain
Back problems
Sports Injury
Other
What are your goals?
Weight Loss
Increase Fitness
Improve Muscle Tone
Are your restricted from certain exercises?
Yes
No
Are you pregnant?
Yes
No
Are you a full time student under 25?
Yes
No
Do you have a baby under 1?
Yes
No
When would you like your training to commence?
Submit
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