Pre-Screening Tool - Stage 1

Pre-Screening Tool 1 is required to be completed every 12 months by anyone participating in physical activity within any of our Health Club facilities. Existing members will be required to complete this form at their earliest convenience.

You may be required to bring a medical clearance letter from your GP or allied health professional if we haven't received one, or if your current clearance is older than 12 months.

pdf format Adult Pre-Exercise Screening Questionnaire (195.20 KB)

To complete the form:

  1. Save a copy to your computer.
  2. Complete on your computer or by hand.
    Note: Your signature needs to be signed- not typed.
  3. Email your completed form to: membership@willoughbyleisure.com.au