Become Ageless
Nutrition and Fitness
Email Address *
Your answer
Phone number *
Your answer
Address *
Your answer
What are your fitness goals? *
Check all that apply
Required
Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor? *
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Do you feel pain in your chest when you do physical activity? *
Required
In the past month, have you had chest pain when you were not doing physical activity?
Do you lose your balance because of dizziness, or do you ever lose consciousness? *
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Do you have a bone or joint problem that could be made worse by a change in your physical activity? *
Required
Is your doctor currently prescribing drugs for your blood pressure or heart condition? *
Required
Do you know any other reason why you should not do physical activity? *
Required
If you answered "Yes" to one or more questions:
Talk to your doctor by phone or in person before becoming more physically active or before you have a fitness appraisal.

You may be able to do any activity you want, if you build up slowly. Or you may need to restrict your activities to those that are safe for you. Talk to your doctor about the kinds of activities you wish to participate in and follow their advice.

If you answered "No" to all of the questions:
I'll be in contact to set up a meeting either locally or by video chat.
Adapted from ©Precision Nutrition
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