Health Questionnaire

Please read the following questions carefully and answer each one honestly. All information will be kept confidential and will be shared only with trainers who work with you on your exercise program.

Exercise Restrictions

Other Factors:

What other factor(s) may affect your ability to engage in an exercise program? Health Conditions and Training
. Many health conditions affect various aspects of health development and training. Please complete the following questionnaire and discuss any pertinent health issues with you trainer.

Overall Health Condition