Pre Exercise Questionnaire

Please take a few minutes to answer the following questions. 
This form and information will be treated as confidential and will not be released without your written consent. 

If you marked Yes for any of the above, please ask your doctor for clearance to exercise before starting any exercise program, OR sign below if you have already cleared the above condition with your doctor. Please give details of condition and related medications on page 2 below.

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(please indicate months/years)
(mins)
(daily, weekly)

I have been given the opportunity to ask questions regarding the procedures of the exercise programme and I have received satisfactory answers to those questions.

I agree that She’s a Knockout shall not be liable or responsible for any injuries to me resulting from my participation in the exercise programme (whether at home, outdoors or at other public places, or corporate, commercial, residential or other fitness facility). I expressly release and discharge She’s a Knockout from any claims, suits and the like of a result of any injury or other damages which may occur in connection with the participation in the exercise programme, excepting only an injury caused by the gross negligence or intentional act of such person or persons.

STATEMENT:

I recognise that the instructor is not able to provide me with medical advice with regard to my medical fitness and that this information is used as a guideline to the limitations of my ability to exercise. I have answered the questions to the best of my ability and understand the advice above.

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Goals

Tell us about yourself and your training goals so we can tailor a program to your needs.

SMART Goal Setting

Make your goals SMART: Specific, Measurable, Achievable, Relevant and Timely.