Welcome to the METABOLIC London team! Please take a moment to read over our Physical Activity Readiness Questionnaire.

Please complete the form below before your first class.

We look forward to seeing you in the gym!

Name
Name
Date Of Birth
Date Of Birth
Address
Address
Has your doctor ever said you have a heart condition and that you should only do physical activity recommended by a doctor?
Do you feel pain in your chest when you do physical activity?
In the past month, have you had a chest pain when you were not doing physical activity?
Do you lose balance because of dizziness or do you ever lose consciousness?
Do you have a bone or joint problem ( for example back, knee or hip) that could be made worse by a change in your physical activity?
Is your doctor currently prescribing medication for your blood pressure or heart condition?
Do you know of any other reason why you should not take part in physical activity?
You should consult with your doctor to clarify that it is safe for you to become physically active at this current time and in your current state of health. If you answered NO to any of the questions: It is reasonably safe for you to participate in physical activity, gradually building up from your current ability level. A fitness appraisal can help determine your ability levels.
Name
Name
Date
Date
Name
Name
Date
Date