1. Has a doctor ever told you that you have a heart condition, or that you should only do physical activity a doctor recommends?

2. Do you feel pain in your chest when you're resting, or when you're active?

3. In the past 12 months, have you lost your balance because of dizziness, or lost consciousness?

4. Have you been diagnosed with an ongoing medical condition, other than heart disease or high blood pressure?

5. Do you take prescribed medication for an ongoing medical condition?

6. Do you have a bone, joint or soft-tissue problem (muscle, ligament or tendon) that could get worse if you became more active?

7. Has a doctor ever said you should only do physical activity with medical supervision?

8. Are you pregnant, breastfeeding, or did you have a baby in the past 12 months?

9. Do you have diabetes, or take medication for blood sugar?

10. Do you have kidney or liver disease?

11. Do you have a digestive condition (celiac, Crohn's, colitis, IBS)?

12. Have you had weight-loss surgery, or do you take a weight-loss medication (like Ozempic, Wegovy or Mounjaro)?

13. Has a doctor or dietitian told you to follow a special diet?

14. Do you have, or have you had, an eating disorder (or been told you might)?

Parent or Guardian Consent (if you're under 19)

If you're 14 to 18, your parent or guardian reads this form, agrees and signs below. They must be 19 or older.

I am the parent or legal guardian of the client named above. I consent to them purchasing and following this program, I've read the Terms of Sale & Refunds, Health note and Privacy page on their behalf, and I accept responsibility for their health screening (PAR-Q+) and participation.