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Registration



Personal Details
First Name
Last Name
Runner or Walker
Gender
Initials
Date of Birth
Email Address
Mobile Number
Sweatstep Profile Password
Select Password
Repeat Password
Physical Details
Height (Inches)
Weight (Lbs)
Goal Weight (Lbs)
Emergency Contact Details
Contact Name
Contact Relationship
Contact Mobile Number
Medical Questions
How long do you currently excercise for in a single session/activity?
Do you have, or have you ever had, any of the following?
• Heart trouble, angina, a heart attack, heart murmur, or stroke? :
• Pain or pressure in the left or mid-chest area, left neck, shoulder or arm, particularly during or shortly after exercise? :
• Feeling of faintness, severe dizziness or excessive breathlessness after mild exertion? :
• Advice from your doctor that your blood pressure was too high or is not under control? :
• Advice from your doctor that your blood cholesterol level is/was elevated? :
• Diabetes? :
• Raised blood sugar? :
• A family history of coronary heart disease under age 55? :
• An abnormal resting electrocardiogram (ECG)? :
• Do you smoke? :
• Inactive lifestyle for 5 or more years AND aged 50 and over? :
• A medical condition not mentioned here which might need special attention in an exercise program, e.g.
Arthritis, Recurrent Backache, Asthma? :
• Do you presently take beta-blocker medication, e.g. one or more of the following: Betapressin, Blocadren, Cardispare,
Congard, Inderal, Inderetic, Lopsor, Pur-Bloka, Rexigen, Sectral, Sotacor, Sotazide, Tenoretic, Tenormin, Trasicor, Trasidrex,Visken. :

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