Physical Activity Readiness Questionnaire

Please complete your health questionnaire before attending the gym

if you answered yes to any of the above, please add any additional information here

Although every effort will be made to ensure that no harm comes to you within our facility or as a result of engaging in activities, by checking the box below and continuing to purchase you confirm that you understand that there is always some risk involved with exercise and whilst most injuries tend to be minor; there is the risk of more severe injury or even death. You also declare that you have disclosed all information on this form accurately and honestly to the best of your knowledge, are aware of your own health and physical condition, and choose to participate in exercise at Fitness Local of your own free will. In doing so, you agree that you have been informed of the risks, advised accordingly and wish to continue at your own risk.