In order for us to better help you, please take a few minutes to fill out this personal health questionnaire. Your information is kept completely confidential. You can expect a call or email follow up from us within 24 hrs to set up your complimentary CSF Fitness Consultation.
Conca Sport and Fitness is currently accepting a limited clientele to workout in our private training studio. All sessions are by appointment only and clients are selected through our online questionnaire application as well as personal interviews
Date Of Birth
Please indicate if you are suffering from any heart condition such as heart disease or high blood pressure - Do you have a family history of heart disease?:
Do you suffer from hypoglycemia anemia, high cholesterol, or diabetes?
Have you had surgery? If so indicate the procedure and if it required physical therapy:
Do you suffer from joint pain such as arthritis or a musculoskeletal disorder?
Do you suffer from a pulmonary disease or shortness of breath?
Have you or do you suffer from any other kind of joint or muscle pain?
Do you suffer from food allergies or a GI disorder?
Is your physician prescribing medication for high blood pressure or cholesterol?
Has your physician told you that you have a bone or joint condition that will worsen with exercise?
Are you medically cleared to exercise?
I may have to ask my doctor
Do Not Fill This Out