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Welcome to Aurise Fitness

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My promise to you

Welcome to your exciting health and wellness journey! With my extensive experience in healthcare, I've seen firsthand the hurdles many encounter in managing their fitness and wellness. At Aurise Fitness, I’m here to uplift and inspire you, helping you rediscover your confidence as we work together on your path to vibrant well-being. Let’s make your wellness journey enjoyable and empowering—together, we’ll unlock your full potential!

Services

PAR-Q Physical Activity Readiness Questionnaire

This questionnaire will help determine if you're ready to start a physical activity program. Please answer all questions honestly.

Date of birth
Month
Day
Year
Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?
Yes
No
Do you feel pain in your chest when you do physical activity?
Yes
No
In the past month, have you had chest pain when you were not doing physical activity?
Yes
No
Do you lose your balance because of dizziness or do you ever lose consciousness?
Yes
No
Do you have a bone or joint problem that could be made worse by a change in your physical activity?
Yes
No
Is your doctor currently prescribing drugs for your blood pressure or heart condition?
Yes
No
Do you know of any other reason why you should not do physical activity?
Yes
No

Please explain any health conditions or concerns that may affect your ability to exercise safely.

Date completed
Month
Day
Year

Address

8401 Mayland rd ste. #7107 Richmond, VA 23294

Phone

434-847-0767

Email

rozinah@aurisefitness.com

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Gym equipment setup

8401 Mayland Drive.

ste 7107

Richmond, VA 23294

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