Welcome to EverFit! @ Everfit Fitness Abilene Fitness

Welcome to EverFit!

NOTE: EverFit will never share your information. All contact and personal details are used only to create
personal profile for our records and will be kept confidential.
Online Registration
1. Your Name(required)
2. Address(required)
3. City
4. State
5. Zip
6. Date of Birth (mm/dd/yy)
7. Daytime Phone (required)
8. Evening Phone(required)
9. Email(valid email required)
10. Emergency Contact Name(required)
11. Emergency Contact Phone(required)
Personal Assessment
1. I rate my current fitness level: (1=low, 10=high)(required)
2. How did you hear about us?
3. My main fitness goal is:(required)
Medical History
1. Do you have diabetes Adult or Juvenille?(required)
2. Have you ever been found to be anemic?(required)
3. Do you have high blood pressure?(required)
4. Do you have or have you ever had the following diseases? (Select all that apply - press Control to select multiple answers)(required)
5. Do you have asthma?(required)
6. Have you ever had a severe neck or back injury?(required)
7. Have you had a broken bone or fracture in the past two years?(required)
8. Do you have back pain?(required)
9. Have you had knee pain in the past two years that has disabled you for longer than a week?(required)
10. Do you have other physical conditions which cause pain?(required)
11. If yes, please describe
12. What are three specific goals you have for the next three months?(required)
Terms of Participation and Waiver
1. I have read and agree with the EverFit, LLC Terms of Participation(required)
2. I have read and accept the EverFit, LLC Contract Agreement and Release of Liability(required)