Please answer all questions accurately and honestly to allow us to fully determine your individual needs. 

1. Do you have high cholesterol?
2. Has your doctor ever said that you have heart trouble?
3. Has your doctor ever told you that you have a bone or joint problem (such as arthritis) that has been or may be exacerbated by physical activity?
4. Has your doctor ever told you that your blood pressure was too high?
5. Are you over 65 years of age and not accustomed to vigorous exercise?