CLIENT INTAKE FORM

Health Declaration

Please fill out the following form completely. Your coach will use this baseline information when designing your training program.

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PART I

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Have you been hospitalized in the last 12 months?
Are you suffering from a medical condition, illness, or injury?

PART II

Self-Assessment

Please fill out the following form completely. Your coach will use this baseline information when designing your training program.

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Thanks for submitting!