Beginner Bootcamp Form
I am finding as the class numbers grow once again,  I can not always give everyone the attention I want in regards to their injuries or muscular imbalance so if you are willing to give me some info I can better help you with those issues. in and out of class :) 
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Email *
What is your name and what do you prefer to be called?
If you want me to be able to contact you, you can leave info here but I am totally fine if you skip this one :) I find facebook and text/call the best way- email is not my favourite but I can use it if needed.
What Injuries do you have? Explain in as much detail as you can.  If you have copies of Xrays, MRI's ect and are willing to share you can send them to jopaulgaard@shaw.ca
Are you currently seeing any of the following?

If you are seeing someone Who are you seeing?  Would you like me to work with them to ensure your goals are met? Is you answer yes I need you to pass on my info and give them permission to talk to me (It is the law)- Jo-anne Paulgaard 587-215-7994 or jopaulgaard@shaw.ca once they contact me we can set up a plan.
Do you have any other medical issues you would like to disclose to me? Heart Conditions, Stroke history, High Blood Pressure, Diabetes Vertigo etc
Have you had a previous surgery or injury to any joints or muscles? If so when and what? How is the area doing now?
Have you had any joints replaced? If so explain what and when and how is it doing now?
Are you waiting for a joint to be replaced? explain 
What are your Fitness Goals? 
Order your Fitness Goals in terms of importance. Feel free to elaborate as the more I understand your goals the more I can help attain them.
What other classes do you go to (or home workouts or physio) either here or elsewhere and when and how often?
 
I just want to ensure you are balancing your movement/exercise to ensure you are not over doing it in one particular area which can lead to overuse injuries and/or muscular imbalances.  ex- Mondays- Jo's Beginner Bootcamp and my physio for my back, Tuesdays with Curtis, Wednesdays 1 hour of Pilates at home and my physio for my back  Thursdays- go for a 30 minute walk outside at a moderate intensity Fridays-Sunday rest (If you are willing to take the time and write out details to your home programs it will make if even easier but give me as much or as little info as you are willing. If it is long you can write it on a word document and email it to me at jopaulgaard@shaw.ca
What are your top 3 favourite exercises? (If you cant think of 3 that is ok) 
What are your top 3 least favourite exercises? and why- Ex- they hurt, they are boring, they are too challenging. (If you cant think of 3 that is ok) 
What are your favourite things to do for Cardio?
What are your least favourite things to do for Cardio? Why?
Do you have anything you would like me to change about Bootcamp? This is where you get to give me your feedback. We have a large spread in abilities at this point so it can be challenging but I do want to ensure everyone is getting what they need/want. 
Is there anything else you want me to know? 
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