Digital Training Pre-Qualify Form
This form is designed to pre-qualify candidates for Digital Training. Digital training requires a certain amount of space and technology to work and be in the clients best interest.
Email *
First Name *
How did you hear about us? *
If you answered Friend / Colleague or Other, please write their name below or how you heard about us.
Are you medically cleared to participate in an exercise program? *
Do you have any medical conditions that can adversely affect strenuous activity? (High/Low Blood Pressure, Vertigo, Medications that inhibit motor or cognitive function.) *
If you answered Yes, or Not Sure above, please list medications and or conditions you have.
Do you have any injuries or range of motion limitations? *
How much experience do you have with exercise and movement in general? *
Newbie
Seasoned Pro
Do you have a minimum of 6'x6' space that you can safely and freely move about in? *
Do you have a Smart Phone / Tablet / Computer, Camera and Microphone accessibility? *
Can you position your camera in such a way, that when standing in the middle, or towards the back of your safe 6x6' space with arms stretched overhead, you can see nearly all of your body from toes to finger tips? *
Do you have any home exercise equipment? *
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