iBodyFit.com

Information contained within Online Body Management is intended solely for general educational purposes. The information contained in this service is not intended nor implied to be a substitute for professional medical advice relative to your specific medical condition or question. ALWAYS seek the advice of your physician or other health provider for any questions you may have regarding your medical condition. Information provided in this site DOES NOT constitute a doctor-patient relationship between you and Online Body Management.

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Online Body Management takes every precaution to insure that the activities, classes, and proscribed workouts on this web site are appropriate and will not cause physical harm to anyone who participates. However, the ultimate responsibility for the accuracy and safety of these exercises lies solely with Online Body Management's End-Users. Online Body Management is not responsible for any injuries or bodily harm that may result from use of any information presented on this web site, whether that information is publically available or available by subscription only.

Please understand that you must be at least 18 years old in order to utilize the activities, instruction, and classes of this web site. Anyone under the age of 18 who is found to have misrepresented themselves in order to gain access to Online Body Management services will have their account disabled and will not eligible for a refund.

Name:
Gender:
Age:
Weight (yes we need this):
Height:
Specific Goals

Goals:	Improve General Fitness Lose Weight Tone Up Add Muscle Run A Mile
Target Areas:	Abs Triceps Biceps Chest Back Legs Butt Thighs All Other
Where do you prefer to workout?:	Gym Home
Which equipment do you prefer to use?:	Dumbbells Swiss Ball Bands Other
Would you say your current job is::	Sedentary Mostly Sedentary Somewhat Sedentary Not Really Sedentary Active
How many hours a week do you work?:
How many hours do you sleep each night?:
Other important information

Fitness Level:	NOVICE - I have never worked out before/its been a while! BEGINNER - I work out here and there, when I can - I would like to start a new routine INTERMEDIATE - I have a set routine 2-3 x a week ADVANCED - I work out 3-5 times a week , I need fine tuning with... ATHELETE - I regularly compete in marathons, body building competitions, races, triathlons
I usually workout with weights ____ day(s) a week:
I usually do cardio ____ day(s) a week:
Current weight training days:	Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Current cardio training days:	Monday Tuesday Wednesday Thursday Friday Saturday Sunday
I am available to weight train on the following days:	Monday Tuesday Wednesday Thursday Friday Saturday Sunday
I am available to train with cardio on the following days:	Monday Tuesday Wednesday Thursday Friday Saturday Sunday
In order for us to design a safe, effective workout, we need to know if you have any injuries or health related issues.
Have you ever had a heart attack or stroke?:	Yes No
Have you ever had any type of heart surgery?:	Yes No
Do you have diabetes?:	Yes No
Do you have high blood pressure?:	Yes No
Have you been diagnosed with any disease(s)?:	Yes No
Do you have high cholesterol?:	Yes No
If you answered YES to any of the above questions, please explain.

Do you have permission from your doctor to exercise?:	Yes No
Are you pregnant or is it likely you might be at this time?:	Yes No
Do you have any of the following::	Pain or discomfort in your chest Shortness of breath Dizziness or fainting Difficulty breathing Heart palpations Heart murmurs Pain when you exercise
If you answered YES to any of the above questions, please explain.

Have you had any surgeries:	Yes No
Any heart disease in family members over 55?:	Yes No
If you answered YES to any of the above questions, please explain.

Please list any medications you are currently taking
Medicine 1
Medication Name:
Reason for taking:
Dosage:
Frequency:
Medicine 2
Medication Name:
Reason for taking:
Dosage:
Frequency:
Medicine 3
Medication Name:
Reason for taking:
Dosage:
Frequency:
Medicine 4
Medicine Name:
Reason for taking:
Dosage:
Frequency:
Medicine 5
Medication Name:
Reason for taking:
Dosage:
Frequency:
Mobile Device Usage
Would you like to see workouts on any of these mobile device?:

E-Mail:
Password: