TV FIT
Personal Fitness Goals (Tick all that apply) *
Do you feel pain in your chest when you do physical activity or have you felt pain in your chest in the last month without physical activity? *
Do you have a bone or joint problem (eg. back, knee or hip) that could be worsened by a change in physical activity? *
Do you know of any other reason that you should not take part in physical activity? *
Do you lose balance because of dizziness or do you have history of fainting/losing consciousness? *
Has your doctor advised of a heart condition and that you should only do activity advised by a doctor? *
Is your doctor currently prescribing medication for your blood pressure or any heart condition? *
Please check the box to confirm you are happy for TV.FIT to share your results to measure success of this wellness programme. This may also include social media and marketing material. *