Crossfit Deer Park Group Training Policies And Liability Release (Page 4 of 6) in pdf

Crossfit Deer Park Group Training Policies And Liability Release Page 4

Lifestyle Information Form

Physical activity:

In the past year, how often have you been engaged in physical activity?

_ Regularly (3 to 4 times/week)

_ Semi regular (1 to 2 times/week)

_ Sporadic (1 to 2 times/month)

_ None

What type of physical activity do you consider “fun”?

What are your personal barriers to exercise?

What physical activity have you been successful with in the past?

Support

Do you feel any family, friends, or co-workers have negative feelings toward your efforts at physical activity?

Is your significant other or close friend involved in any regular physical activity?

Occupation/Leisure

What is your present occupation?

Does your occupation require much activity?

What are your usual leisure activities?

Stressors

What types of things make you feel stressed?

How do you deal with your stress normally?

Dietary Patterns

How many meals and/or snacks do you have per day?

What would you estimate your caloric intake to be per day?

Do you feel you eat healthy “most of the time”?”

Crossfit Deer Park Group Training Policies And Liability Release Page 4