Regular physical activity has many health benefits, however, some people should check with their doctor before they start. 

 

When planning to undertake physical activity, you should start by answering the questions below. If you are in any doubt, consult with your GP before commencing exercise. The MOOSE many require you to obtain written consent from your GP before permitting you to participate in our sessions.

 

 

 

 

 

Health Questionnaire

Emergency Information

Confidential Health Questionnaire

Have you or do you suffer from any of the following:


Is there any family history of the following conditions:



Client Declaration

By writing in my name and submitting this form electronically, I declare that I have read and fully understood the Health Questionnaire. I confirm that, to the best of my knowledge, I have responded honestly and that the answers are correct and accurate. I know of no reason why I should not participate in an exercise workout. I understand that training with the MOOSE is entirely at my own risk and waive any legal recourse for damages to myself or property arising from my participation. I understand that I should not exercise if I feel unwell and that if my health changes I should inform my trainer.