Health Screening Checklist

Please inform us if you have any of the following medical conditions:

Allergies
Auto immune disorder such as MEMS/Lupus
Epilepsy
Abdominal disorder
Surgery in the last 2 years
Arthritis such as osteo/rheumatoid
Back pain
Knee or Hip problems
Shoulder or neck problems
Heart disorders
Asthma
Anxiety/depression/trauma
Autism
Sensory disorder affecting eyes/ears
Balance affecting disorder
Pregnant/have given birth recently
Body composition interfering with the performance of daily tasks (e.g. clinically obese)
History of high blood pressure?
Family history of coronary disease prior to age 50
Any other illness, injury or limitations

Have you ever had?

a heart attack
cardiac surgery
extreme chest discomfort
high blood pressure (over 140/90)
heart murmurs
ankle swelling
any vascular disease
unusual shortness of breath
fainting spells
asthma, emphysema, or bronchitis

Do you?

smoke (and over the age of 35)
drink excessively (more than 1-2/day)
have poor sleeping habits (less than 8 hrs/night regularly)
currently take any medication

Before an exercising session online

You need to understand the importance of making sure the area where you exercise is free from tripping or other hazards (e.g. moving parts of exercising equipment, chemicals in open bottles nearby, etc).

You must use eventual exercising equipment according to manufacturer's guidelines: please read them.

During an exercising session

You need to understand the importance of informing your instructor should any of the following occur: joint or chest pain, dizziness, nausea, rapid pulse, excessive sweating, extreme muscle soreness, cramps.

Physician release form or Informed Consent and Liability Waiver

Our instructors may ask you a Physician’s Release (your doctor’s okay and approval to exercise) and/or an Informed Consent and Liability Waiver (where you are informed of the inherent risk to injury that comes with exercise, and your are required to sign prior to start a program) especially in the following cases:

if you have adverse personal medical history and/or medical adverse symptoms
if your cardiovascular risk profile score is high
if you have a significant and restrictive chronic illness or range-of-motion limitation
if there are persistent contraindications