Pre-Exercise Screening & Waiver
This screening form doesn't provide advice on a particular matter, nor does it substitute for advice from an appropriately qualified medical professional. No warranty of safety should result from its use. The screening system in no way guarantees against injury or death.
Stage 1 - Compulsory
The aim of this form is to identify individuals with known diseases, and/or signs or symptoms of disease, who may be at a higher risk of an adverse event due to exercise. An adverse event refers to an unexpected event that occurs as a consequence of an exercise session, resulting in ill health, physical harm or death to an individual. This stage form allows for self administration and self evaluation, by yourself, the participant. Please complete the questions below. Should you have any questions about this screening form please contact us for clarification. If you answer "Yes" to any of the following questions, please seek guidance from your allied health professional or GP before commencing any exercise program. Written clearance will be required.
If you answered "YES" to any of the questions above, please seek guidance from an appropriate allied health professional or medical practitioner prior to commencing any exercise program
If you answered "NO" to all of the above questions, please proceed to the next section and calculate your typical weighted physical activity/exercise per week.
Whist all due care and attention will be undertaken to preserve your safety and of those around you by the meVSme representative:
meVSme prides itself on providing an all-inclusive environment for all participants regardless of gender, sexual identity, age, nationality, religion or ability.
By submitting this form, I agree to be legally bound by these terms and conditions.
For more information please contact us below
admin@meVSme.com.au
Call or SMS 0483 915 319
Kings Langley