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Wellness

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Wellness

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Physical activity readiness questionnaire

Before you start training, answer honestly. If any answer is "Yes", we may ask for a doctor's clearance — it's for your safety.

Full name

Nombre

Apellido

Date of birth

Phone number

Answer Yes or No

	Yes	No
Has a doctor ever told you that you have a heart condition?
Do you feel chest pain during physical activity?
In the past month, have you had chest pain while at rest?
Do you lose your balance from dizziness, or have you ever lost consciousness?
Do you have a bone or joint problem that could worsen with exercise?
Do you take medication for blood pressure or a heart condition?
Do you know of any other reason you should not do physical activity?

Wellness

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Thirty days of small habits that add up: more steps, more water, better sleep. Compete in teams, win prizes, and — most importantly — feel better.

Full name

Nombre

Apellido

Email address

Team or department

Which challenges are you joining?

10,000 daily steps 2 liters of water a day Sleep 7+ hours 10 minutes of mindfulness 3 workouts a week

Wellness

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