Gym Form

GYM EXERCISE READINESS QUESTIONNAIRE

1 Exercise Readiness
2 Terms & Conditions of use
  • HEALTH SCREENING QUESTIONNAIRE

  • Regular physical activity has many health benefits, however, some people should check with their doctor before they start. When planning to undertake physical activity, you should start by answering the questions below. If you are in any doubt, consult with your G.P. before commencing exercise.


    Please read the questions carefully and answer them honestly by checking YES or NO














  • If you have answered ‘yes’ to any of the questions above, please can you give brief details: (We may require you to obtain written consent from your G.P. before agreeing to allow you to undertake any physical exercise in the gym).

  • I have read and fully understood the Exercise Readiness Questionnaire. I confirm that, to the best of my knowledge, the answers are correct and accurate. I know of no reason why I should not participate in an exercise workout. I understand that I would be using the Health & Fitness facilities entirely at my own risk and waive any legal recourse for damages to myself or property arising from my participation.

  • CLIENT DECLARATION

  • Please sign using your touch device or mouse.