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Relax. This part is easy.







Has your doctor ever said you have a heart condition and that you should only perform physical activity recommended by a doctor?
Do you feel pain in your chest when you perform physical activity?
In the past month, have you had chest pain when you were not performing physical activity?
Do you lose your balance because of dizziness or do you ever lose consciousness?
Do you have a bone or joint, or structural problem that could be made worse by a change in your physical activity?
Is your doctor currently prescribing any medication for your blood pressure or for a heart condition?

Do you know of any other reason why you should not engage in physical activity?

Thanks for submitting!


What is your occupation, and does it require long periods of sitting / repetitive movements?

Identify/describe the root causes of the stress in your life - and how you de-stress:

What recreational activities do you enjoy, and what kinds of physical activities do you enjoy?

Describe your list of limitations i.e. activities you do NOT enjoy, any orthopedic injuries or medical conditions that limit you in your daily life and activities:

What medications and/or supplements are you taking?

Thanks for submitting!

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