**PLEASE NOTE: Do not close window while completing survey or you will lose your answers. Please fill out the questionnaire to the very end and press 'Submit'**

INFORMED CONSENT

Dear Valued Client,

Thank you for choosing me to coach you on your journey to your personal best. This questionnaire is designed to enable me to better understand your health and wellness and establish baselines to use when helping you to establish your goals and measure your progress in achieving those goals.  It is not intended for use in determining the state of your health or in the diagnosis of any medical conditions. I always advise you to see your physician for both regular check-ups and for the diagnosis of specific medical conditions.

Your decision to complete this questionnaire is voluntary. You are free to decline consent or participation if you so desire.

If you need to reschedule or cancel an appointment please do so 24 hrs in advance in order to receive credit for the session, and allow your coach time to adjust their schedule. Exceptions will be made in the case of a medical emergency. There are no refunds on training packages - unless accompanied by a doctor's note.

Mayra Blanco
Coach at INTEGRATE FITNESS AND PERFORMANCE
P:  305-720-6083
W: IntegrateFP.com
E:  coachM@integratefp.com
@IntegrateFP