LiveFitNow Client Consultation Form
Please fill this form in with as much detail as possible, if you are unsure about any of the questions please get in touch: hello@livefitnow.co.uk and I can assist you. This form will take a few minutes to complete as it covers several areas that will help us both when looking at what your goals are and what you are hoping to achieve. Many thanks, Vicki 
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MEDICAL HISTORY There are many health benefits to be gained from regular physical activity, however there are some safety factors to consider before increasing your level of activity. It may be necessary to seek medical advice from your doctor before beginning a new exercise programme. If you need any clarification, or have any questions, please ask your instructor. Please answer the following questions:
1) Have you ever been diagnosed with any of the following medical conditions:  
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2) Have any members of your immediate family suffered from any of the conditions listed above? (If yes, please give details)  
3) Do you have any other medical conditions or special needs that may affect your ability to exercise? (If yes, please give details)   
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4) Have you suffered any of the following:
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5) Do you ever experience chest pain during physical activity?  
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6) In the last month, have you experienced any chest pain whilst not physically active?  
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7) Do you suffer with any joint or bone conditions (including spinal problems) that might be made worse by physical activity?   (If yes, please provide details)
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8) Are you taking any prescribed medication? (If yes, please provide details)  
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9) Are you pregnant, or have you given birth in the last three months?  
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10) Have you had surgery within the last 3 years? (If yes, please give details)  
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Please share anything else you think we should know about your medical history and overall health here
Medical Questions 
If you answered yes to any of the medical questions (1-10) your instructor may defer your session until written medical clearance is provided by your doctor  
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