Home Health & Readiness Form Health & Readiness Form Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Mobile *Date of Birth *1. Have you been advised by a doctor to avoid physical activity? *YesNo2. Do you have any heart conditions, chest pain, or cardiovascular concerns? *YesNo3. Do you experience dizziness, fainting, or shortness of breath during exercise? *YesNo joint, Do Have 4. Do you have any joint, muscle, or spinal injuries or limitations? *YesNo5. Have you had surgery in the last 12 months? *YesNo6. Do you have any medical conditions that may affect exercise performance or safety? *YesNoAdditional Notes (Optional)Consent & Acknowledgment *I agreeI confirm that the information provided is accurate. I understand that participation in physical activity involves risk, and I agree to train at my own responsibility. I will inform the coach of any changes to my health status.Submit
