top of page
This site was designed with the
.com
website builder. Create your website today.Start Now

Health Questionaire

Please fill out the following form to help us understand your physical condition.

Has your doctor ever said your blood pressure was too high or too low?
Do you have any known cardiovascular problems (abnormal ECG, previous heart attack, etc)?
Have you (or a family member) ever been told you have diabetes?
Do you have any injuries or orthoopedic problems (back, kness, etc)?
Do you have stiff or swollen joints?
Do you have problem sleeping?
Have you ever been advised by a doctor, physician or specialist not to perform any type of exercise/activity?

Thanks for submitting!

bottom of page