11. Do you currently have any of the following symptoms?
For Women Only
Please list below all prescription and over-the-counter medications you are currently taking:
I have answered the Health History Questionnaire accurately and completely. I understand that my medical history is a very important factor in the development of my fitness/wellness program. I understand that certain medical or physical conditions which are known to me, but which I do not disclose to Beach Fitness, Inc. may result in serious injury to me. If any of the above conditions change, I will immediately inform Beach Fitness, Inc. of those changes. I knowingly and willingly, assume all risks of injury resulting from my failure to disclose accurate, complete, and updated information in accordance with the attached questionnaire.