Sculpted by BERNARD
Telephone number (for the consultation)
Please describe your current exercise program (the last 6 to 8 weeks). You may include your relevant exercise history. also.
What types of exercise activities do you enjoy?
How often do you stretch or practice yoga or tai chi?
Do cardio (classes, running, biking, walking, skating, etc.?
Strength train or Weight lift?
Do you have an injuries that prevent certain exercises or movements?
Have you or either of your parents had high blood pressure, low blood pressure, diabetes, or obesity? Please specify.
Describe your relationship with food/ dieting/ eating, etc.
What would you most like to learn about developing your healthy lifestyle?
I can't wait to CHAT.
michelle bernard, MS Ed, CPT