Medical Screening
Please take a moment to fill out this medical screening form prior to your first training with us at Aligned Training Studio to ensure a safe and healthy journey with us. 
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1. Personal Information
First and Last Name *
Date of Birth *
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Mobile Number *
Email Address *
Emergency Contact (name and phone number) *
Do you consent to being filmed/photographed during your workouts to be used on Aligned's social platforms? *
What are your main goals you wish to achieve at Aligned? *
How did you hear about us? *
2. Medical History
Has a doctor ever told you that you have a heart condition or have you ever suffered a stroke? *
Do you ever experience pain or discomfort in the chest at rest or when doing physical exercise? *
Do you ever feel faint or have spells of dizziness during physical activity? *
Have you had an asthma attack requiring medical attention in the last 12 months? *
If you have diabetes, have you had any trouble controlling your blood glucose in the last 3 months? *
Do you have any diagnosed muscle, bone or joint problems that you have been told could be made worse by participating in physical exercise? *
Do you have any other medical conditions that may make it dangerous for you to participate in physical exercise? *
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