Gym activity readiness questionnaire
GRE and Ashbrook staff: please complete this after your membership application and before your gym induction. This helps our team identify anything to discuss with you privately. It is not medical clearance.
If you have chest pain, unexplained breathlessness, fainting, or a health concern about exercise, seek advice from a healthcare professional before using the gym. If you feel unwell during exercise, stop and tell staff.
Please answer each question
1. Has a doctor or other health professional ever told you that you have a heart condition, high blood pressure, or should only exercise under supervision?
2. Do you have chest pain at rest or during physical activity?
3. Have you had unexplained dizziness, fainting, or loss of balance in the past 12 months?
4. Do you have a bone, joint, muscle, or other condition or injury that could be made worse by exercise?
5. Are you taking prescribed medication or receiving treatment that may affect your ability to exercise safely?
6. Are you pregnant, recently postnatal, or aware of another health reason why you should discuss exercise with a professional first?
7. Would you like to discuss any access needs or adjustments with a member of the team before using the gym?
If you answered Yes to any question, we will speak with you privately before independent gym use. Please do not enter diagnoses or detailed medical history here.
Privacy: The Circuit Club stores this submission in its website form records and emails a copy to sales@thecircuitclub.ltd. Authorised club staff use it to arrange your gym induction. We do not ask for diagnoses. To ask about or update your answers, email sales@thecircuitclub.ltd.
