Bushy Park
St Enda's Park
Rathfarnham

ShapeUp Fitness Screening Form &
Personal Details

Are you currently taking any medication?*
Are you pregnant or have given birth in the last 3 months?*
Is there a history of heart problems or chest pain in your family or with you? *
Do you have HIGH OR LOW blood pressure? *
Do you have difficulty with physical exercise or advice from your GP to avoid specific movements?*
Do you have Diabetes? *
Do you have any muscle, joint or back disorders that could be aggravated by physical exercise?*
Have you had a recent surgery? (within last 3-6 months?) *
Do you have Asthma or trouble breathing? *
Do you have ANY chronic illness?*
Do you have high blood cholesterol levels? *
Do you ever feel faint, dizzy or light-headed? *
Female Fitness Trainer based in South Dublin. Over 13 years experience. Fitness classes indoor or outdoor and personal training all available, all year round.
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