Welcome to SJW Sports Institute’s Faster Stronger Runners Program
We care about our clients, so before we get started we need to ensure you are fit and healthy to start the program.
Please complete this online health screen below:

SIGN UP FORM – HEALTH SCREEN

Adult Pre-Screening Form

Full Name *

Email *

Health Screen

Are you between the ages of 18-65 years old? *

Yes

No

Unfortunately our Faster Stronger Runners taster program is only suitable for adults from 18-65 years old without conducting a full health assessment. If you are interested in our program and would like to discuss this further please contact info@sjwsportsinstitute.com.

1. Has your medical practitioner ever told you that you have a heart condition or have you ever suffered a stroke? *

Yes

No

Unfortunately our Faster Stronger Runners taster program is only suitable for adults from 18-70 years old without conducting a full health assessment prior to providing you with any training program. If you are interested in our program and would like to discuss this further please contact info@sjwsportsinstitute.com.

2. Do you ever experience unexplained pains or discomfort in your chest at rest or during physical activity/exercise? *

Yes

No

Unfortunately our Faster Stronger Runners taster program is not suitable for people with your health conditions as we would need to conduct a full health assessment prior to providing you with any training program. If you are interested in our program and would like to discuss this further please contact info@sjwsportsinstitute.com.

3. Do you ever feel faint, dizzy or lose balance during physical activity/exercise? *

Yes

No

Unfortunately our Faster Stronger Runners taster program is not suitable for people with your health conditions as we would need to conduct a full health assessment prior to providing you with any training program. If you are interested in our program and would like to discuss this further please contact info@sjwsportsinstitute.com.

4. Have you had an asthma attack requiring immediate medical attention at any time over the last 12 months? *

Yes

No

Unfortunately our Faster Stronger Runners taster program is not suitable for people with your health conditions as we would need to conduct a full health assessment prior to providing you with any training program. If you are interested in our program and would like to discuss this further please contact info@sjwsportsinstitute.com.

5. If you have diabetes (type 1 or 2) have you had trouble controlling your blood sugar (glucose) in the last 3 months? *

Yes

No

Unfortunately our Faster Stronger Runners taster program is not suitable for people with your health conditions as we would need to conduct a full health assessment prior to providing you with any training program. If you are interested in our program and would like to discuss this further please contact info@sjwsportsinstitute.com.

6. Do you have any other conditions that may require special consideration for you to exercise? *

Yes

No

Unfortunately our Faster Stronger Runners taster program is not suitable for people with your health conditions as we would need to conduct a full health assessment prior to providing you with any training program. If you are interested in our program and would like to discuss this further please contact info@sjwsportsinstitute.com.

I have read and agree to the SJW Sports Institute Privacy Policy and Disclaimer. *

Yes

No

SIGN UP FORM – HEALTH SCREEN

Health Screen

C O N T A C T