Goal *First and Last Name *Current weightJob *GenderFemaleMaleAge *Exercise historyI have done amateur or professional sprot beforeExtercise history *Last degree of educationNo. of children *0 / 2Martial status *SingleMarried or in coupleDiseases and body achesHeart diseaseBreathing problemsMigraineJoint pain/problemNeckBackKneeHandWristElbowHigh blood pressureLow blood pressureunder-active thyroid (hypothyroidism)over-active thyroid (hyperthyroidism)irregular periodsAnemiaConsumptionsSpecial MedicationsBirth control pillsAlcoholSmokingDescription of the special treatment or diseaseOperations historyI have done operations beforeHow long since the last operation? *CesareanI have done cesarean beforeRegisteration typePrivateAdvancedHow long would you like to exercise in the gym?Odd or even days?EvenOddHow many days per week? *AddressPhone * Consent *I have reviewed my responses and I'm sure that they are accurate. Submit Form