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Before we get started…

There is some background information I need to know to create the training program that is right for you.

Please fill out the Integrated Fitness Profile sheet below so I can have your information ready for our first workout:

Subjective Information

Your Name (required)

Email (required)

Occupation

What is your current occupation?

Does your occupation require periods of sitting?
 yes no

Does your occupation require extended periods of repetitive movements?
 yes no

Explain:

Does your occupation require you to wear shoes with a heel (dress shoes)?
 yes no

Does your occupation cause you anxiety (mental stress)?
 yes no

Lifestyle

Do you partake in any recreational activities (golf, tennis, skiing, etc.)?
 yes no

Explain:

Do you have any hobbies (reading, gardening, working on cars, Internet, etc.)?
 yes no

Explain:

Medical

Have you ever had any pain or injuries (ankle, knee, hip, back, shoulders, etc.)?
 yes no

Explain:

Have you ever had any surgeries?
 yes no

Explain:

Has a medical doctor ever diagnosed you with any Chronic Disease such as Coronary Heart
Disease (CHD) or Coronary Artery Disease (CAD), Hypertension (high blood pressure), High
Cholesterol, Diabetes, etc.?
 yes no

Explain:

Are you currently taking any medications?
 yes no

Explain:

Personal

What goals are most important for you to accomplish with training program?

How many times per week are you willing to work out with a fitness professional?

Are you willing to perform home flexibility or workout routines?
 yes no

How many times per week are you willing to work out on your own?

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