Health Questionnaire | Sofit Group

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Title *

First Name *

Mobile No. *

Surname *

Email *

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Emergency Contact - Name *

Emergency Contact - Number *

How did you hear about us? *

What do you want to achieve? *

What fitness if any do you currently do? *

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Do you feel pain in your chest when you do physical activity? *

Do you lose your balance because of dizziness or do you ever lose consciousness? *

Have you ever been told by your doctor that you have high blood pressure? *

Do you suffer from Diabetes or Epilepsy? *

Is there anything else not listed here that we need to know about which may mean you shouldn’t do physical activity?

DECLARATION

If I choose to take part in fitness classes delivered by Swansea Outdoor Fitness I acknowledge that:

I am aware and understand the potential risks and dangers associated with physical activity and any equipment that may be used in a Swansea Outdoor Fitness class and I am voluntarily participating in these activities with knowledge of the risks and dangers involved. I hereby agree and accept full responsibility for any injuries or death that may occur during a class.
I know of no reason why I should not participate in any of the activities at Swansea Outdoor Fitness. I hereby declare myself free of any condition, illness or injury that may affect my participation. I agree to inform a member of staff if this changes at any point or if anything declared within the Health Questionnaire changes which may affect my ability to participate in Swansea Outdoor Fitness sessions.
I agree to abide by any safety notices given to me during classes and am aware that I have the opportunity to ask questions about any of the activities, use of equipment or other session related issues. If I choose to listen to advice or notices given to me or if I choose to ignore them, I do so voluntarily and accept liability for any resulting injuries or damage.
I do hereby accept all responsibility or liability for any injuries or damages resulting from my participation in any activities that I take part in at Swansea Outdoor Fitness.

I have read, understood and completed this questionnaire and agree to be bound by its conditions. *

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Name *

Date *

GDPR Agreement *

I agree to receive communication from Swansea Outdoor Fitness about offers and services by email and SMS once I begin my journey. *