HEALTH QUESTIONNAIRE

Please complete this form honestly as it will help us to personalise your experience and select the most appropriate and effective forms of exercise for you.

 

If you are registering a youth, please select the most appropriate responses on their behalf.

This form must be completed before you start training at Colchester Weightlifting.
 

How long have you participated in physical exercie for?
Has a medical professional ever said you have heart troubles?
Do you regularly suffer from pain in your chest?
Do you regularly suffer from dizziness or feeling faint?
Has a medical professional ever told you that you have a condition that could be made worse by exercise?
If you have answered 'yes' to any of the above, is your doctor aware of your intent to exercise?
Is there anything not covered above which you feel we should be aware of?

If you have answered 'yes' to any of the above, please provide details below:

THANK YOU! We'll be in touch.