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Medical Questionnaire & Waiver

Please fill out the following form to help me curate the best regiment for you.

Exercise Level
No ExperienceBeginnerIntermediateAdvancedProfessional
Are there any medical conditions in your family history that you are aware of?
Have you been hospitalized in the last 12 months?
Are you currently suffering from a medical condition, illness, or injury?
Are you currently taking any medications that affect your blood pressure or heart rate?
What type of trainining would you like included with your sessions? Required
What do you seek most from your personal trainer? (Please select 2) Required
Are you comfortable with hands on adjustments?
When you're learning something new, what helps you most? Required

Thanks for submitting!

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