Information - New Start PT - Bowen Hills, Brisbane

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call us: 0407040425

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Welcome to New Start PT

We are looking forward to helping you to move better, live pain free, achieve balance in your life and get better results in all aspects of your life

Fill in the form below and we will contact you within the next 24 hours to get you started with your free consultation.

We will be the last trainers you will ever need.

Name *

Email *

Phone *

Suburb *

Date of Birth *

Gender

Male
Female

How did you hear about us? *

What were you looking to Achieve with us at New Start PT? *

Improve Fitness
Increase Muscle Definition
Reduce Body Fat
Injury Rehabilitation
Disease Management
Improve Sport Specific Performance
Improve Moods and Cope with Stress
Increase Strength
Improve Flexibility
Generally Feel Better
Increase Energy Levels
Other (Please Specify below)

Are you currently exercising? *

Yes
No

In your opinion, what is your current level of fitness? *

What is your preferred time of day to train? *

How many days can you commit to training each week? *

The programs involves activities that require a basic level of fitness. Are there any known reasons such as an illness, disability, impairment or otherwise, which may impact, limit or influence your ability to participate in the activities, including (but not limited) any one or more of the following? (Please tick and describe in the space provided)

High blood pressure (140/90 or above)
Low blood pressure (90/60 or below)
Chronic pain within the body
Undergone weight loss surgery e.g. gastric band etc
Heart condition/s
Body Mass Index BMI of 25 (classified as overweight) or above
Waist measure = to/> 80cm (female) or 94cm (male)
Type I / Type II diabetes
Depression
Restricted movement (within any part of the body)
Decreased range of motion within joints
Scoliosis
Asthma
Hyper/ Hypo Thyroid
Arthritis
Hernia
Back or Neck pain
Consistent muscular pain/cramps
Family history of Heart Disease
Chronic fatigue
High Cholesterol
Liver/kidney conditions
Regular Headaches

Are there any other factors that may limit your activity? Please Describe

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