Pre-exercise screening

Please take a few minutes to fill in this form. This information will be used to assess your health and fitness and enable us to ascertain to what capacity you can participate in our exercise programs and services. Please note this form is valid for one year from date of completion.
  • Personal details

  • DD slash MM slash YYYY

  • Emergency contact

  • Medical history

    Do you have any of the following medical issues, or have you ever experienced any of the listed symptoms or complaints:
  • DD slash MM slash YYYY
  • Uni Fitness (Student Guild) and Aquatic Centre (Griffith Sport) collects, stores, and uses personal information only for the purposes of administering Student Guild and Griffith Sport programs and services. The information collected will not be disclosed to third parties without your consent, except to meet government, legal or other regulatory authority requirements. For further information, consult the University’s Privacy Plan at


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