Cowells Lane Bootcamp

Have you ever had a stroke? *

Yes

No

Have you ever been told that you have a heart condition? *

Yes

No

Do you ever have unexplained pains in your chest while resting or during exercise? *

Yes

No

Do you consistently feel faint or suffer from spells of dizziness? *

Yes

No

Do you suffer from asthma and require medication? *

Yes

No

Do you suffer from Type l or 2 diabetes? *

Yes

No

Do you suffer from any major muscle of joint conditions that may limit you or be aggravated by physical activity? *

Yes

No

Do you suffer from any medical condition that may worsen with physical activity? *

Yes

No

Do you suffer from high blood pressure over 140/90 or low blood pressure below 100/80? *

Yes

No