Fitness Health History Questionnaire Template

Ready to get fit?What's your name?When were you born, {{field:01F7B328PPKP5EMPQYQHJ7V54B}}?How would you describe your current level of fitness?1 means stairs are hard, 10 means you'll probably show me a thing or two.And what's the current state of your overall health?1 thumb means you have some issues, 10 means you're healthy as a horse.Okay {{field:01F7B328PPKP5EMPQYQHJ7V54B}}. And do you have (or have you had) any of these conditions?We'll work out together what you feel comfortable doing based on this.

History of heart problems, chest pain, or stroke, Elevated blood pressure, Diabetes, Surgery, Thyroid condition, Hernia or other back issues, History of breathing or lung problems

Are you taking any medication I should know about?For example, anything that decreases your heart rate, blood pressure and cardiac output. Or that can make you feel tired and sluggish. I'll take it into account.What is it you're taking?That's all for now {{field:01F7B328PPKP5EMPQYQHJ7V54B}}!

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Calling all personal trainers: ditch those standard questionnaires about fitness health. They’re boring, confusing, and don’t get anyone excited about a tough training session. Instead, customize this template to fit your brand and personality. Did we mention it can also automate some administration for you?

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Fitness health history questionnaire FAQs:

Before you send out your form, there are two things you should do:

Set up a BAA (Business Associate Agreement) with us

Typeform is a HIPAA-compliant company, so all the healthcare-related info you process with us is legally airtight. But for you to be 100% HIPAA compliant, you’ll first need to set up a BAA. To do this you would need to talk to us about our enterprise plan, which you can do by filling out this Typeform, or contacting your Typeform account manager.

Check the local data collection laws

Data collection laws aren’t a one-size-fits-all thing—especially when there’s sensitive medical info involved. So before hitting share, seek advice from a local lawyer to make sure you’ve covered everything.