Jolly Fitness



		Member Signup (for company member signup please click here) Step 1...Tell us about you

		Title
		Forename
		Surname
		Address 1
		Address 2
		Town / City
		County
		Postcode
		Country

		Email
		Email Confirmation

		Please choose a 'Username' (6 - 12 characters)
		Confirmation of username

		Please choose a 'Password'
		Confirmation of password

		Date of Birth

		Height (cm)	cm Convert Your Height
		Weight (kg)	kg Convert Your Weight
		Gender


		Step 2...Please answer the following questions

		Has your GP ever said you have heart trouble?
		Yes No

		Do you frequently have pains in your heart and chest?
		Yes No

		Do you often feel faint or have spells of severe dizziness?
		Yes No

		Has your doctor ever told you that you blood pressure was too high?
		Yes No

		Has your doctor ever told you that you have a bone or joint problem e.g. arthritis that has been aggravated by exercise or might have been made worse with exercise?
		Yes No

		Is there a good physical reason not mentioned here why you should not follow an activity programme even if you wanted to?
		Yes No

		Are you over the age of 65 and not accustomed to vigorous exercise?
		Yes No


		Step 3...Your training program

		Where will you be following your training programme?


		Your Goal?


		Your Activity Levels?


		Have you previously followed a weight loss/exercise programme?


		How long would you like the plan to last?


		How long do you wish to train for at each session?


		what motivates you to get active?

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