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Physical Activity Readiness Questionnaire

Please fill out the following form to help us understand your physical condition.

  You must do this before you begin any activities with Hybrid Fitness.  

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1. YOUR DETAILS:

2. YOUR CURRENT CONDITION OF HEALTH:

Has your doctor ever said you have a heart condition and that you should only do physical activity recommended by a doctor?
Do you feel pain in your chest when you do physical activity?
Do you lose balance because of dizziness or do you ever lose consciousness?
Do you have a bone or joint problem (for example back, knee or hip) that could be made worse by a change in your physical activity?
Do you know of any other reason why you should not take part in physical activity?
If you answered 'Yes' to any of the questions above, a Coach will be in contact to discuss your unique requirements in more detail.

3. YOUR EXPERIENCE WITH EXERCISE

Which of the following options best describes your experience with exercising?
Which of the following services are you interested in? (Check all that apply)

4. MARKETING PREFERENCES & DECLARATION

   Thanks for submitting, unless you answered 'Yes' to any of the medical questions in section 2, you're now ready to go!   

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