Personal Health and Fitness Medical History
Has your doctor ever said your blood pressure was too high or low?
Have you (or a family member) ever been told than you have diabetes
Do you have any cardiovascular problems (e.g, heart disease, previous heart attack, atherosclerosis, abnormal electrocardiogram)?
Has your doctor ever told you that your cholesterol level was high?
Do you have any injuries or orthopedic problems (e.g., bad back, bad knees, tendinitis, bursitis)?
Are you taking any prescribed medications or dietary supplements?
Are you pregnant or postpartum less than six weeks?
Do you have any other medical conditions or problems not previously mentioned?
I acknowldge, to the best of my ability, that I am in good health and have no known medical problems that would restrict my ability to participate in this exercise program. I will immediately inform my trainer if my health condition should change.