Please fill out the following form BEFORE YOUR FIRST VISIT to help us understand your physical condition.
​
If you answer YES to one or more questions -
A member of the centre will ask you further questions relating to your answers below and will advise you on how to proceed.
​
Prior to an induction appointment being made Fuller Life's team members may request that you consult with your doctor before using our facilities. Your doctor will advise you as to your suitability for further physical exercise.
​
This questionnaire does not in any way represent a medical examination.
​
You are only required to complete this form once - before your first visit to Fuller Life Health & Fitness Centre. Please complete the Covid-19 Health Declaration before EACH visit
Declaration:
​
I have read and fully understand this questionnaire and confirm that, to the best of my knowledge, the answers given by me are correct and accurate. I know of no reason why I should not participate in any form of physical exercise or any such activity suggested to me by any employee or representative of Fuller Life. Health & Fitness. I acknowledge that any suggestions from any such employee or representative regarding exercise, healthcare and nutrition are neither diagnostic nor prescriptive.
​
I agree to notify a fitness instructor of any future changes to the above answers before continuing to exercise.
It is strongly recommended that I do not use any item of exercise equipment that I am unfamiliar until I have appropriate guidance from a fitness professional. In the absence of a qualified fitness professional I may use the facility but at my own risk.
Important:
​
Fuller Life Health & Fitness may use the information you have provided in this questionnaire and any other information provided by you relating to your mental and physical condition to ascertain whether physical exercise is appropriate for you and, if necessary, to seek further information from your doctor or other specialist. By accepting and submitting this declaration, you agree to the use of your information as stated in this Data Protection Statement.
