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pre exercise health

Prior to taking part in any of my classes please fill out the following medical form

Has your Doctor ever indicated that you have a heart condition?
Have you ever been made aware that your cholesterol was high?
Do you experience dizziness or fainting?
Are you bothered with severe chest pains during physical exertion?
Are you diabetic?
Are you taking any medication or prescribed drugs?
Has you Doctor ever said that you suffer from high blood pressure?
Are you bothered with severe chest pains during physical exertion?
Do you have any bone, joint or muscular problems?
Are you Pregnant or have been within the last 6 months?
Do you suffer from arthritis?
Do you suffer from...

07765585773

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