GYM HEALTH SCREENING

All information is private and confidential. 

For you own safety, if you answer "Yes" to any of the following questions, we may not be able to allow you access to the gym unless you can provide us with a waiver from your Doctor indicating that it is safe for you to do so.

Do you, or have you ever suffered from any of the following:

  • Diabetes

  • High or Low Blood Pressure

  • Physical Handicaps

  • Asthma

  • Respiratory Problems

  • Epilepsy

  • Conditions associated with Heart Disease

  • Arthritis or stiff joints

  • Back Pain

  • Hip Pain

  • Other joint injury

  • Blackouts
     

  • Are you taking any medication which might affect you during exercise?

  • Do you know of any illness or injury not in the above list that may be aggravated by regular exercise?
     

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