Used by British Champion Athletes
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4 Core Fitness health form
Please list three goals in order of importance:
Which service category are you interested in?
I need advice on this!
Group Personal training
4 Core Fitness Group Personal training
4 Core Fitness Medicine Ball Classes
QuickFit - HIIT Training
Online coaching and training plans
Diet plan and nutrition advice
Corporate Group Personal Training (companies only)
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Emergency Contact Information Name?
PAR-Q, health questionnaire - Please note this section is required to be filled out
Emergency Contact Tel Number?
Please choose if you suffer from any health related issues below
Do you suffer from heart problems, chest pain, and stroke
History of heart problems in immediate family
Any chronic illness or condition
Recent surgery (in last 6 months)
Pregnancy (now or within last 3 months)
History of breathing or lung problems
Loss of balance or dizziness
Any injuries (bone, muscle, joint)
Diabetes or thyroid condition
Cigarette smoking habit
Increased blood cholesterol
Advice by a doctor not to exercise
Any lower Back Pain
Are you taking any medications?
I am healthy, nothing applies to me above!
If you ticked any above, please comment:
If you'r goal is sport specific or training with us Online (remote coaching) , please give us more information about your training. Days to train, how long are you training and what sort of exercises you do! We also need to know what do you have access to? Gym, home training equipment, resistance bands etc. The more information you give, the best we can help and advice!
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