Pre-Exercise Questionnaire

The Questions below will indicate if you need to check with your Doctor before you start exercising. If you are over 69 years of age and not currently active, you should consult with your doctor prior to commencing an exercise regime.

Please read the questions below and answer honestly:

No Yes

No Yes

No Yes

No Yes

No Yes

No Yes

No Yes

Declaration

If you have answered any of the questions with a “Yes” you may need to consult with your GP BEFORE you start becoming more physically active or BEFORE you have a fitness appraisal. If so, you we may require written confirmation from your GP before you begin using the gym.

I have read, understood and completed this questionnaire and acknowledge that there are risks and dangers inherent in physical exercise and duly undertake the activity at my own risk. Any liability on the part of the operators is excluded unless negligence can be proven.

I agree to observe the rules and conditions of membership. I also acknowledge that I must not use any piece of equipment for which I have not been shown how to use by an instructor.

I confirm that the information that I have provided is correct at this time and should I become aware of any relevant changes to my health or condition, I will inform an instructor.

I Agree