Please Complete Form:

Birthday

Do you have a heart condition or cardiovascular disorder?*

Did a doctor advise you to limit physical activity and only perform the recommended activities by a professional?*

Is there any chest pain when you're doing any physical activity?*

Do you usually lose your balance due to being dizzy or even lose your consciousness?*

Are you experiencing bone or joint problems in general or during physical activity?*

Do you have pain, tightness, or achiness in your body?*

Are you currently taking medications for your blood pressure or heart condition?*

Is there any reason why you should not do physical activities?*