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Epic Fitness
Arizona's On-Site Personal Fitness Trainers
Epic FitnessEpic Fitness
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Search:
  • Home
  • Training Programs
    • Workplace Wellness
    • Virtual Training
    • Resident Wellness
    • Sports Conditioning
    • In-home Training
  • Meet Our Team
  • About Us
    • About Epic FItness
    • Testimonials
  • Client Info
    • FAQs
    • Health History Form
    • Fitness Glossary
    • BMI Calculator
  • Blog
  • Contact

Health History Form

  • MM slash DD slash YYYY
  • Health Information

  • Fitness Survey

    Answer the following questions on a scale from 1-10. 1 being the worst and 10 being the best.
  • Poor23456789Great
  • Poor23456789Great
  • Low23456789High
  • Low23456789High
  • Low23456789High
  • Agreement and Acknowledgement

  • I recognize that exercise carries some risk to the musculoskeletal system (sprains, strains) and the cardio respiratory system (dizziness, discomfort in breathing, heart attack). I hereby certify that I know of no medical problem that would increase my risk of illness and injury as a result of participation in a regular exercise problem and that I have been cleared for all variations of cardiovascular and resistance training by my physician. I understand this is a release of liability and I agree to release and discharge both the fitness trainer and Epic Fitness LLC from any and all claims or causes of action and agree to voluntarily give up or waive any right that I may otherwise have to bring legal action against the fitness trainer or Epic Fitness LLC for injury or property damage. If any portion of this release of liability shall be deemed by a Court of competant jurisdiction to be invalid, then the remainder of this release from liability shall remain in full force and effect and the offending provision or provisions severed here from.
  • By placing your initials below and submitting you agree to the above statement and acknowledge that the information contained here is required to provide a safe and productive training environment and that all information submitted is in fact true.

PO BOX 7261
Tempe, AZ. 85281
tel: (480) 987-4321

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