Health questionnaire

Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?
Do you feel pain in your chest when you do physical activity?
In the past month, have you had chest pain while you were not doing physical activity?
Do you lose your balance because of dizziness or do you ever lose consciousness?
Do you have a bone or joint problem that could be made worse by physical activity?
Is your doctor currently prescribing drugs for your blood pressure or heart condition?
Are you pregnant or recently had a baby?
Have you had any recent injuries or operations?
If yes please give details:
Do you know of any other reason why you should not do physical activity?
If you answered YES to one or more questions: Talk to your doctor BEFORE you become more physically active or have a fitness appraisal. Discuss with your doctor which kinds of activities you wish to participate in.
I have taken medical advice and my doctor has agreed that I should exercise.

Mobile: 07798 834334

Email: info@ckcoaching.co.uk

©2019 CK Coaching

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