Health History

HEALTH HISTORY FORM

Would you like to start (or continue) making progress in feeling better, stronger, lean and healthy?! We design every Fitness Inspired program and class to bring you maximum opportunity for-- Fun, Accountability, & Results!(R) in your health and fitness life! Our signature program has daily live fitness classes and the resources, tools, and coaching to lead you in this journey! It will help you Make Changes You Love to Live With! If you are willing to trust the process that has improved so many lives already and commit to this journey-- I know you will be so THANKFUL you did. Here's to you, taking action! YOU Rock!

Feel inspired, strong, and happy with us: Please fill this out each year and any time your health changes medically. Sweet, you are taking the steps! Great job!

Hey, Hey Fitness Inspirer,

* Indicates required field

Name *

First

Last

Phone Number *

Email *

Birthday *

What Fitness Inspired Program are you in? *

We work on all 4 of these areas in Fitness Inspired workouts and programs, but if you could only pick one to start improving which would it be? *

If another Fitness Inspirer asks for your phone number or email are you okay with me giving it to them? *

Optional questions below, but worth the typing time ;)

Who/What Inspired you to join? *

If you could imagine yourself three years from now, how would you want to feel and be (behaviorally speaking) different? *

Are you nervous about anything you would like to share? Or any questions? *

What is something you are excited about (i.e. intention/goal/focus/specific workout(s)/monthly results parties)? *

Required info to participate. Stay Safe + Inspired!
Show up even when it feels challenging to begin, you will be happy you did :)

Liability Waiver Agreement click HERE to see full agreement

I have read and agree to the Liability Waiver: *

Yes. I am injury free without any restrictions. Yes. I am responsible for modifying and complying with any restrictions.

Type your name as your electronic signature for the Liability Waiver Agreement *

Emergency Contact (first and last name) *

Emergency Contact Phone Number *

Anything else you want to keep in mind? *

Way to go for taking action! You Rock! Let's do this!

Submit Form :)

HEALTH HISTORY FORM

Hey, Hey Fitness Inspirer,

Fitness INspired: Fun, Accountability, & results! (R)

OUR Signature program | Personal Training | Connect

© 2008-2025 Fitness Inspired; All Rights Reserved; Copyright
Guest Sign In Terms of Use Privacy Policy Health History

HEALTH HISTORY FORM

Hey, Hey Fitness Inspirer,

Fitness INspired: Fun, Accountability, & results! (R)​OUR Signature program | Personal Training | Connect

© 2008-2025 Fitness Inspired; All Rights Reserved; CopyrightGuest Sign In Terms of Use Privacy Policy Health History

Fitness INspired: Fun, Accountability, & results! (R)

OUR Signature program | Personal Training | Connect

© 2008-2025 Fitness Inspired; All Rights Reserved; Copyright
Guest Sign In Terms of Use Privacy Policy Health History