Get documents about "CLIENT HISTORY - Virtual Home Fitness - Marc D
Description
Not for daily exercise, very few people in terms of activity, it is necessary to develop the habit of regular exercise may be difficult, but think of sports, sticky feeling after sweating and sweat smell, that is, people Do not feel comfortable, may be more difficult. It is recommended to have thought that people who lose weight, may wish to start their daily lives "moving. " Drag mopping floors, wiping windows, planting flowers and trees, and so home activities, allows the body to have appropriate activities, but also burns calories and not too tired.
Document Sample
virtualhomefitness.com
marc@virtualhomefitness.com, 561 676-6179
Name Age
Address Email
Home Phone Cell
Emergency Contact Phone
Breakfast (list foods)
Lunch
Dinner
Goals
Current Exercise
Medication(s)
Surgery(s)
Medical History (Circle and explain any that apply)
Neck Fingers Ankles
Wrist Knees Arms
Hips Elbow Low Back
Shoulders Middle Back Cramps/Weak
Alcoholism Fractures/Dislocat’ns Pacemaker
Allergies/Sinusitis Heart Attack/Disease Paralysis
Anemia/Bleeding Hernia Phlebitis
Angina/Chest Pains High Cholesterol Pregnancy
Arthritis/FM High Triglyceride Rheumatic Fever
Asthma History Diabetes Shortness of Breath
Cancer History Heart Smoked in Past
Cigarette Smoking Disease Sports Injury
Diabetes History Strains
Digestive Conditions Hypertension Stroke
Dizziness/Blackouts Hysterectomy Thyroid
Emphysema Menopause Varicose Veins
Epilepsy Muscle Other
Fainting Osteoporosis
Release of Liability +I understand that fitness activities involve a risk of injury. I
understand that there are risks of physical injury as a result of participating in exercise
and physical training activities, and I agree to assume the full risk of and release Marc
Thompson from any liability. +I do hereby further declare myself to be physically sound
and suffering from no condition, impairment, disease, infirmity or other illness that
would prevent my participation of exercises or use of equipment or machinery. +Any
cancellation or postponement within 24 hours of the scheduled sessions will be charged.
Signature Date
