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Health History
Health History
Athlete Name
*
First
Last
Email
Height (inches)
*
7'
6'11"
6'10"
6'9"
6'8"
6'7"
6'6"
6'5"
6'4"
6'3"
6'2"
6'1"
6'
5'11"
5"10
5'9"
5'8"
5'7"
5'6"
5'5"
5'4"
5'3"
5'2"
5'1"
5'
4'11"
4'10"
4'9"
4'8"
4'7
4"6
4'5"
4'4"
4'3"
4'2"
4'1"
4'
Weight (lbs)
*
Age (years)
*
Grade in School
Out of School
College
12th
11th
10th
9th
8th
7th
6th
5th
What High School will you attend?
Please select your primary sport.
*
None
Golf
Baseball
Softball
Volleyball
Soccer
Basketball
Football
Track
Swimming
Lacrosse
Hockey
Other
What is your primary sport position? (if you don't play a sport just enter none)
*
What direction do you swing a bat or club direction?
*
None
Right Handed
Left Handed
What hand do you throw an object with?
*
None
Right
Left
Have you every had surgery?
*
Yes
No
Please describe
Have you every had a broken bone?
*
Yes
No
Please describe
Have you every had a pulled muscle?
*
Yes
No
Please describe
Have you every sprained a joint?
*
Yes
No
Please describe
Have you experienced any other injuries?
*
Yes
No
Please describe
Please select any joints that have had pain in last year.
*
Feet
Ankles
Knees
Hips
Low Back
Upper Back
Neck
Shoulders
Elbows
Wrists
None
Please describe the pain
Have you ever been involved in resistance training?
*
Yes
No
Resistance training is classified as using weights, bands, machines, or any device that provides an external load.
How long did you consistently participate at least 2x a week average?
less than a month
2 to 6 months
6 month to a year
1 year to 2 years
More than 2 years
Briefly describe what type of exercises and weight you did
Are you currently involved in resistance training?
*
Yes
No
Resistance training is classified as using weights, bands, machines, or any device that provides an external load.
How long have you consistently participated at least 2x a week average?
*
less than a month
2 to 6 months
6 month to a year
1 year to 2 years
More than 2 years
Briefly describe what type of exercises and weight you do
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