Request edit access
Fitness Par-Q
The Insurance bit
Email address *
Your first name *
Your answer
Your surname *
Your answer
Phone number *
Your answer
List any health concerns/medications etc *
If you have none, then write 'NONE'
Your answer
A brief outline of your main goal *
ie, weight loss, muscle gain, running better, higher energy etc , else write 'UNSURE'.
Your answer
Disclaimer *
I declare that I have answered this form fully, and have detailed any health concerns I may have, as this affects my program and the nature of how the program is delivered, ie, intensity. While workout environments are safe, I will further mitigate against injury by absorbing the lessons of form, technique and diet. The world is big and full of potential hazards, such as kerbs, mountains, trees, wet grass and other trip hazards, of which all the hazards can be mitigated by looking where I'm going. ... I accept personal responsibility for my own wellbeing by applying a sense of self-preservation, i.e., if I'm not happy with something ranging from a single movement through to an entire section of a workout, then I will speak out and opt out of that specific movement or activity, for which an alternative will be presented. By ticking YES, I accept these common sense terms and choose to start my fitness program through The Raw Gym.
Required
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy