Volta Fitness Healthy & Fitness Questionnaire

Hi! Thanks for thanks for taking part in the Volta Fitness 6 Week Challenge.

The aim of this challenge is to help people learn how they can make changes in their lifestyle to become healthier and achieve their fitness goals.

By filling out this form you accept all responsibility of your own training thereby removing any liability from Voltafitness.co.

You also confirm, by filling out this form, that if you don't not follow the program to the best of your ability, you will not achieve the results you set out for! That being said, it's all about gaining the knowledge and motivation to adopt a positive and healthy lifestyle.

Your information will be kept completely private so please be honest with answers.

Good luck!

I Agree

Name:

Age:

Email Address:

Have you had any illness or health conditions in the past 12 months. Please Specify:

Have you been pregnant in the last three months?

Yes

Do you breastfeed or have you breastfed in the last 3 months?

Yes

Please list any medications you are currently taking:

Have you had any injuries in the past 6 months?

Yes

Please Specify: