Pre Training Questionnaire

Please complete one form per participant, using unique email addresses for each participant.

 

Contact Details

Please fill in your contact details.

Your Contact Details
Date of Birth
Gender
Choose your area and session time:*
Goals
Current Training Regime
Do you currently have any of the following (or have a history of)?
Allergy induced asthma
Any heart/stroke condition
Arthritis
Asthma
Diabetes
Exercise induced asthma
High Blood Pressure >140/90
High Cholesterol/triglycerides
Liver/Kidney Condition
Pregnant
Injuries
Allergies
Medication
Emergency Contact
Declaration and waiver:

I understand that I am responsible for my own participation in any activities undergone in evolution classes or associated training and events. I have answered all questions regarding any medical history and recent medical treatments received by me and will continue to inform Evolution to Wellbeing of any information which will affect my health and wellbeing in regard to my participation in any program.

Declaration and waiver:*

I understand that I am responsible for my own participation in any activities undergone in evolution classes or associated training and events. I have answered all questions regarding any medical history and recent medical treatments received by me and will continue to inform Evolution to Wellbeing of any information which will affect my health and wellbeing in regard to my participation in any program.

 
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