Medical Questionnaire and Training Agreement

    Fitness Medical Health and Demographic Questionnaire

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    History of heart problems, chest pain, or stroke
    Increased blood pressure
    Recent surgery (past 12 months)
    Pregnancy (current or within past 3 months)
    History of breathing or lung problems
    Muscle, joint, back disorder, or any previous injury still affecting you
    Diabetes or thyroid condition
    Hernia, or any condition that may be aggravated by lifting weights
    Any chronic illness or condition
    Are you taking any medications or drugs?
    Do you suffer from dizziness or loss of consciousness?
    Cigarette smoking habit
    Increased cholesterol
    History of heart problems in immediate family
    Please enter one response per row
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    Informed Consent and Training Agreement

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