Gym health questionnaire Form

Gym health questionnaire Form

A gym membership form that doubles up as a health questionnaire by collecting clients health details necessary for the clients exercises. Form Preview
  • Welcome sheet - Client informations

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  • Clients informations - Health questionnaire (Par-Q)

  • Common sense is your best guide when you answer this questionnaire. Please read the questions carefully and answer each one honestly: check YES or NO. 

  •   Yes No
    Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?
    Do you feel fain in your chest when you do physical activity?
    n the past month, have you had chest pain when you were not doing physical activity?
    Do you lose balance because of dizziness or do you ever lose consciousness?
    Do you have bone or joint problem (for example, back, knee, or hip) that could be worsen by a change in your physical activity?
    Is your doctor currently prescribing drugs (for example water pills) for your blood pressure or heart condition?
    Do you know of any other reason why you should not do physical activity?
  • I have read, understood and completed this questionnaire. Any questions I had were answered to my full satisfaction

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  • Client informations - Liability waiver

  • I am aware of the risks in observing or participating in the activities offered and sponsored by Vsquarefitness and I understand that all sports or fitness that I will execute and participate in are entirely at my own risk and perils. I assume complete responsibility and liability for those risks and for the injuries that may occur as a result of these risks, even if injuries occur in a manner that is not foreseeable at the time I sign this agreement. I realize that by voluntarily assuming the risks involved, I will be solely responsible for any loss or damage I sustain, including personal injuries to me, damage to my property, or damage arising out of my death. It is understood that Vsquarefitness is responsible for any damage that would be resulting from a fault of Vsquarefitness and its representatives. 

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  • Client informations - 24h cancellation policy

  • All cancellations must be received at least 24h before your training session in order to avoid being charged. Clients who do not cancel with 24h notice will be charged 50% of a regular price session for the cancellation.

    VSQUAREFITNESS understands that emergencies happen. We provide every client with one free short-notice cancellation. You will not be charged for your first cancellation with less than 24h notice. Subsequent short notice cancellations will be charged for the session. The free short-notice cancellation only applies if VSQUAREFITNESS, or your trainer is notice prior to the session start time. No show are not eligible for the free cancellation.

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