Step 2 – Health and Injury Assessment

Do you, or have you ever had any of the following?

YesNo

YesNo

YesNo

YesNo

YesNo

YesNo

YesNo

YesNo

YesNo

YesNo

YesNo

YesNo

YesNo

YesNo

Please provide more information on any pain, injuries or limitations you currently suffer.

If you are not sure if you are able to exercise then you must obtain a clearance from your GP, If you have been cleared to exercise then please sign here.

My Condition is cleared and I am able to undertake an exercise program:

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