Fitness Section Questionnaire

Fitness Section Questionnaire

Questionnaire form about persons health lifestyle and fitness. Commonly used for health cares who asks basic health questions bout their clients. Form Preview
  • Fitness Section Application Form

    Welcome to the Fitness Section. This form is to be completed by the applicant. This form is confidential and is retained in your personal fitness file.
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  • Physical Activity Readiness Questionnaire

    If you are 69 years of age or over, you must obtain medical clearance from your doctor. A written and signed consent form must be presented to the section by your doctor, giving you clearance to participate in a prescribed exercise program. Please answer the questions below:
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  • Member Consent Form

  • I hereby apply for membership to the Fitness section of the Granite Club and agree to abide by the rules and regulations now in force or as amended or varied and agree to accept the decisions of the Granite Club Fitness section.

    I, the undersigned, hereby acknowledge and consent to have a Certified Fitness Professional perform the appropriate exercise assesment. I understand that the Fitness Staff can request medical clearance from my doctor prior to the fitness assessment and restrict entrance into the Fitness section until medical clearance is presented.

    I understand that the results obtained from the fitness assessment will be used to assist the appraiser in determining the type and amount of physical activity most appropriate for my present fitness level, but will not be used to determine the presence or absence of heart disease.

    I understand that there exists the risk of certain changes occurring during and after the assessment, including: abnormal blood pressure, fainting, light headaches, leg cramps, nausea and, in very rare instances, heart attack or irregular heart rythyms.

    I am aware that it is my obligation to inform the appraiser of any pain, discomfort, fatigue or any other symptoms I may suffer during and/or immediately after the assessment. I willfully assume all the above listed risks.

    I hereby release the Granite Club, its agents, officers and employees acting within the scope of their duties, from any liability with respect to damage or injury that I may suffer except where damage or injury is caused by negligence by the Granite Club or its employees.

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