APP Personal Training Health History Questionnaire

Health History Questionnaire

For most people, physical activity should not pose any problem or hazard. The following questions are designed to identify the small number of adults for whom physical activity might be inappropriate or those who should have medical advise concerning the type of activity most suitable for them. Please set aside 15-30 minutes to complete this survey.

Common sense is your best guide in answering these questions. Please read them carefully and check the "Yes" or "No" response next to the question if it applies to you.

Question Title

* 1. Address

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number