Bring a Friend Week
Friend week is 5/16-5/21 2022. Please fill out our questionnaire, so we can know the most about you before class! Once your form has been submitted, you'll receive an email from this form to create an account via ZenPlanner.
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Name (first and last) *
Email *
Name(s) of Member Referring (can be multiple) *
I understand that I'll receive an email to create an account after this is submitted. *
必填
Do you Smoke? (Any substance)
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Do you regularly exercise now? Yes-how often or No-when was the last time?
Are you tired or lack energy during the day?
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Is your sleep consistent (same time and same amount) and restful?
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Do you drink soda?
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Do you take prescription meds? What conditions are they prescribed for?
What is your occupation?
How stressful is your job? 1 being not stressful, 5 being highly stressful
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Do you participate in any sports? Are they recreational or competitive? List.
Do you have back pain, knee pain or shoulder pain?
Do you have high blood pressure?
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Do you have high cholesterol?
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Are you epileptic or prone to seizures?
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Do you have a cardiac condition?
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Do you have asthma?
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Do you have diabetes?
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Do you have stiff, swollen or painful joints?
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Have you lost consciousness or fell over as a result of dizziness?
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Do you suffer from depression?
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Have you had any broken bones or joint injuries?
Have you had any surgeries?
Have you ever been told by a physician to avoid any type of exercise?
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List any other health concerns or conditions that you have or have questions about.
What do you want to accomplish by training here?
Are you 18 or older (You can still participate if under 18, we just need an answer)? Once you hit Submit you'll receive an email to register for our member app through ZenPlanner. *
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