Client Intake & Liability Waiver
Answer YES or NO. If YES to any, medical clearance may be required.
Heart condition requiring restricted activity?
Chest pain during exercise?
Chest pain in last 4 weeks (not exercising)?
Dizziness or loss of balance?
Injury that may worsen with exercise/stretching?
High blood pressure/heart condition with medication?
69+ and not active?
Insulin dependent diabetes?
Pregnant or possibly pregnant?
Any other reason to avoid exercise?
Personal training and assisted stretching sessions.