UcanJog2 Health Questionnaire
The objective of the running sessions are to exercise as part of a group, helping you to improve your running fitness but most of all to meet likeminded people and to bring the enjoyment into running and make you feel great! We start each session with a walking warm up and end each session with a series of stretches to ease out your muscles. Prior to starting please complete this form.
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Your Full Name *
Please enter your Mobile number  *
Please enter your email *
Age *
How did you hear about UcanJog2? *
Are you new to running or have you run previously? Please tell me about your running history and experience (if any) or as much info as possible so I can gage your current ability prior to your first session. *
Do you take part in any other exercise? If so what
What is motivating you to join a running club?
Do you have a short term and long term goal that you would like to aim for? If so tell me about them.
Do you have any of the following medical conditions? Click None if n/a *
Required
Do you have any injuries or any other condition not included on this form that the Run Leader should be made aware of?
Running will benefit your cardiovascular health and make you feel great but are you using running as a way to manage weight loss? *
If you are wanting to lose weight, owner of the club Debra is an evidence based certified Nutritionist and currently working with ladies individually and in Groups to support, educate and coach them with their nutrition to work towards their goals. Is this something you may potentially be interested in? *
Informed consent – liability waiver I do hereby declare myself to be physically sound and suffering from no condition, impairment, disease or infirmity or other illness (other than those declared on the attached medical questionnaire) that would prevent my participation or use of equipment or facilities except as herein stated. I acknowledge that I have either had a physical examination and have been given my doctors permission to participate, or that I have decided to participate in activity without the approval of my doctor and do hereby assume all responsibility for my participation and activities, and utilisation of equipment and machinery in my activities. *
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