Registration: Fitness Questionnaire Name of participant * First Name Last Name Has your medical practitioner ever told you that you have a heart condition or have you ever suffered a stroke? * Do you ever experience unexplained pains or discomfort in your chest at rest or during physical activity/exercise? * Do you ever feel faint, dizzy or lose balance during physical activity/exercise? * Have you had an asthma attack requiring immediate medical attention at any time over the last 12 months? * If you have diabetes (type 1 or 2) have you had trouble controlling your blood sugar (glucose) in the last 3 months? * Do you have any other conditions that may require special consideration for you to exercise? * Describe your current physical activity/exercise levels in a typical week by stating the frequency and duration at the different intensities. * Thank you, we’re so excited that you’ve joined Team Buddiup!
