Call 0844 880 6779 0140 025 1607 For Free Consultation LOSE WEIGHT AND GET FIT WITH YOUR ONLINE PERSONAL TRAINER   HOME REGISTER HELP Blue Sky Academy Dashboard Daily Diary History Report Aerobic Diary Fitness Tests Videos Lose Weight, Improve fitness and Live Longer, Recruit your Personal Trainer Today
Existing Members Login User Name Password Forgot Password? Andrew Cotton Instructions Eat Well Plate Exercise and Children The Elderly Who We Are Walking is a Great Exercise Nordic Walking Nordic Walking Course Nordic Walking Rate Sheet Health and Safety Questionnaire Pre-Exercise Questionnaire Book your Nordic Walking Training Program Healthy Heart and Heart Disease Your Diet The GI Diet High Protein Diets Cholesterol Exercise Where and When you Choose Order Status Feedback Virtual Personal Training VIRTUAL PERSONAL TRAINING From Only £ 19.99 per month For the fraction of the cost of Personal Trainer, your VPT will: Recommend an appropriate fitness program. Advise on diet. Contact you with regular email exercise reminders. Evaluate your feedback and update your program. Carry out regular health screening to ensure safe and effective exercise prescription. Plus much much more. For more information or to sign up to a healthier and fitter life Call now on 0844 8806779 Or send an email to: info@blueskyacademy.co.uk Subscribe for Newsletter Name: Email:	Health and Safety Questionnaire Name *  Address *  Age (years) *  Sex * Male   Female  Occupation *  Phone (work)    Phone (home)    Phone (mobile)      Medical History   Note: Answers of Questions 1-11 are Mandatory     Yes No 1 Have you ever suffered from heart trouble? 2 Are you presently taking any form of medication? 3 Do you suffer from chest pains? 4 Have you ever had high or low blood pressure? 5 Have you ever had high cholesterol? 6 Have you ever had asthma, chronic bronchitis or any other chest ailments? 7 Do you suffer from severe back pains or any other orthopaedic problems? 8 Do you suffer from severe headaches or migraines? 9 Are you recuperating from a recent illness or operation? 10 Do you have any medical condition that we should be aware of? 11 Are you pregnant and if so how many months? If you have answered YES to any questions 1-11 you are asked to seek medical advice/approval before commencing an exercise INDUCTION OR PROGRAM I confirm that I have been informed both verbally and in writing that if I answer YES to any of the questions 1-11 on this questionnaire I should seek medical approval before commencing an exercise induction or program. If I wish to continue I do so entirely AT MY OWN RISK. I confirm that I have read, fully understood and answered the above questions honestly. I understand that any of the directors and employees of Nordic Walking, Blue Sky Academy and Virtual Personal Fitness Ltd cannot be held responsible for any injuries or ill health of any kind arising from any exercise induction or program.   Date (dd-mm-yyyy)  *  Consultant      Heath Related Behaviour   Do you smoke? * Yes   No  How many days weekly do you normally spend at least 20 minutes in moderate to strenuous exercise? *  What type of exercise is it?    If you do not exercise how long is it since you last did?    What type was it?    Please state anything that we should know about any past experience with exercise      Personal Fitness Goals   What are you looking to achieve?    Main Priority?
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