Pre-Activity Health Questionnaire

Please fill out this Pre-Activity Health Questionnaire so I'll be familiar with any injuries or conditions you may have before you begin your classes with me. If you are Pregnant please use this form.
Read the questions carefully and answer each one honestly. If in doubt after reading through this questionnaire, consult your doctor prior to commencing physical activity.

Create your own user feedback survey

I have a private group on Facebook for my class members. Please click here and request to join.
I reward clients who send people my way. Please read about my Referral Rewards here.