6. General Fitness Questions
What is your 'Chief complaint?
Please state how long you have had this complaint, when you first noticed it, and what incident you feel started it.
How does your chief complaint effect you on a day to day basis?
Are the symptoms brought on by certain activities or positions?
Do specific positions or activities alleviate your symptoms?
When is the pain worse?
On a scale of 1-10 (1=low 10=high) please rate the stress in your career.
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On a scale of 1-10 (1=low 10=high) please rate the stress in your personal life.
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Have you ever had any of the following treatments; (Specify)
How many hours do you spend in front of a computer
What time do you usually go to bed?
What time do you wake in the morning?
How many meals do you eat each day? (List time of day)
How many days do you have to commit towards working out?
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What particular goals are you looking for from your body?
Any other not mentioned?
Do you suffer from any pressure point pain (and where)....
7. Health Details Daily stress levels
Are there any other problems or inhibiting reasons that Green Gym Company Trainers need to be made aware of prior to completing an exercise training profile for you?
(A signed contract will be required prior to completion of your exercise training profile)
When you submit this questionnaire you will be given a basic membership that will enable you to login to an account to see the results of your questionnaire. An email will be sent to you in due course with more details.
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