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Cardio Tennis Health Check

Please fill out the following form to help us understand your physical condition. 

All Information will be treated confidentially. 

Health Declaration

Has your doctor ever said that you have heart trouble?
Do you ever have pains in your heart of chest?
Do you ever feel faint of have spells of dizziness?
Do you have any bone, joint or neurological problems that could be made worse by exercise?
Have you ever been told that you have high blood preassure?
Are you taking any prescription medications, such as those for heart problem, high blood preassure, high colesterol, diabetes or asthma?
If female, are you pregnant or have you had a baby in the last 6 months?
Do you have any other medical conditions that we should be aware of? If yes, please explain
Has anyone you are related to died of a heart problem under the age of 50?

IF YOU HAVE ANSWERED YES TO ONE OR MORE QUESTIONS

Please ask your doctor to complete the Doctor’s Medical Form. (Please email to get a form) Return it to your Cardio Tennis coach prior to participating in Cardio Tennis.

 

IF YOU HAVE ANSWERED NO TO ALL QUESTIONS

You do not need to ask your doctor to complete the Doctor’s Medical Form prior to participating in Cardio Tennis.  However, you are recommended to begin slowly and build up gradually.

 

PLEASE NOTE

If your health changes subsequently so that you answer YES to any of the above questions, you should inform your Cardio Tennis coach immediately.

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