CLIENT HISTORY - Virtual Home Fitness - Marc D
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.
virtualhomefitness.com email@example.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