|
YES |
NO |
||
| 1 | Have you ever been told by a doctor that you suffer from a heart condition or have a family history of heart disease, strokes or raised cholesterol? | ||
| 2 | Do you ever experience unexplained chest pains or suffer from a pounding/palpitating heart? | ||
| 3 | Do you suffer from high blood pressure? | ||
| 4 | Have you ever lost consciousness or fallen over due to dizziness? | ||
| 5 | Do you have breathing difficulties or asthma? | ||
| 6 | Are you diabetic? | ||
| 7 | Do you suffer from arthritis/general joint/back or muscular pain? | ||
| 8 | Do you suffer from epilepsy? | ||
| 9 | Are you pregnant or have given birth in the last 6 weeks? | ||
| 10 | Have you had a recent operation or chronic injury or illness? | ||
| 11 | Are there any other factors that we should know about as they may affect you during exercise? |
If you have answered ‘Yes’ to any of these questions please consult your doctor before attending a class. You should also make your instructor aware at the beginning of every class if any of the health issues above affect you.