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PT Par-Q
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Please, Tell me what your goals are for starting Personal Training with me
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Please list ANY medical conditions below
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Has a doctor ever told you you have a heart condition?
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Have you ever had chest pains or dizziness while working out
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Do you have and medical conditions that would hinder your exercise? Bone, joint, etc.
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DISCLAIMER: By signing in the box below, you agree to the terms.
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You should always consult your physician or other healthcare provider before changing your diet or starting an exercise program. This is particularly true if you (or your family) have a history of high blood pressure or heart disease, or if you have ever experienced chest pain when exercising or have experienced chest pain in the past month when not engaged in physical activity, smoke, have high cholesterol, are obese, or have a bone or joint problem that could be made worse by a change in physical activity. Do not start this fitness program if your physician or health care provider advises against it. If you experience faintness, dizziness, pain, or shortness of breath at any time while exercising you should stop immediately. Melanie Sobocinski’s site and workouts offers health, fitness and nutritional information and are designed for educational purposes only. You should not rely on this information as a substitute for, nor does it replace, professional medical advice, diagnosis, or treatment. If you have any concerns or questions about your health, you should always consult with a physician or other health-care professional. Do not disregard, avoid or delay obtaining medical or health related advice from your health-care professional because of something you may have read on this site. The use of any information provided on Melanie Sobocinski’s site and/or workouts is solely at your own risk. I understand that there is a risk of injury associated with participating and using Melanie Sobocinski’s home Gym. I hereby assume full responsibility for any and all injuries, losses and damages that I incur while attending, exercising or participating in Melanie Sobocinski’s home Gym. I hereby waive all claims against Melanie Sobocinski, its instructors, or partners of individually or otherwise, for any and all injuries, claims or damages that I might incur. CLIENT SIGNATURE IN BOX BELOW
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