Coaching Form | Runetics

Has your doctor ever said that you have heart condition and that you should only do physical activity recommended by a doctor? (required) *

No
Yes

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

No
Yes

In the past month, have you had chest pain when you are not doing physical activity? (required) *

No
Yes

Do you lose your balance because of dizziness or do you ever lose Consciousness? (required) *

No
Yes

Do you have a bone or joint problem (for example, back, neck, knee, hip) that could be made worse by a change in physical activity? (required) *

No
Yes

Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition? (required) *

No
Yes

Do you know any other reason why you should not do physical activity? (required) *

No
Yes

I agree to and have read the above paragraph

Consent *

I agree to the above contents of the INFORMED CONSENT AGREEMENT

Terms and Conditions *

I have read (https://runetics.com.au/coaching-terms-conditions/) and agree to the Terms and Conditions

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