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Instructions and help about health screen form template

to the gym thank you before we get started with your exercise program we're gonna get through it at all so screening tool to see if you have any medical conditions that will affect your program thank you okay so basically you just answer the questions as we go through as a yes or a No and if needs be I'll ask more information no worries okay um your name Helen thank you and your date of birth third yeah 1982 good great so you'll just begin with the questions like I said a yes or no answer so has your doctor ever told you that you have a heart condition or have you ever suffered a stroke no do you ever experience unexplained pains in your chest at rest or during physical activity or exercise do you ever feel faint or have spells of dizziness during physical activity or exercise that causes you to lose balance have you had an asthma attack requiring immediate medical attention at any time over the last 12 months yes I have okay so how long ago was that three months ago did you have to go

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