DIABETES TRAINING RISK ASSESSMENT

To ensure you train safely and confidently with us at SpeedFit, we ask clients living with diabetes to complete this short health screening. Your responses help us tailor your sessions to your needs and provide the highest level of care and support.

Full Name *

Email *

Phone Number *

Do you suffer from any kidney disease? *

Yes

Do you have any cardiovascular disease? *

Yes

Do you suffer from unregulated (no medication) hypertension (high blood pressure)? *

Yes

Based on your answers, it looks like EMS training isn’t suitable for you at this time due to a health condition that presents a higher level of risk. While we won’t be able to proceed with sessions at SpeedFit, we want to acknowledge your honesty and commitment to improving your health, and we’re still here to support you.

What’s next?
Even though EMS may not be the right fit, we’d love to share some helpful tools and resources you can use right now:

Visit https://joinspeedfit.com/ems-training-for-diabetes-management/ for wellness tips, lifestyle advice, and safe exercise alternatives.
Access healthy recipes and meal planning tips with Diabetes Kitchen. As a SpeedFit referral, you’ll receive 10% off their membership.
Prefer to chat? Just email [email protected]. We’re happy to point you in the right direction or share some support.

Thanks again for taking the time. We hope to stay connected and wish you the very best on your journey to better health.

Preferred Studio Location *

Please select your age range *

Do you have a nutritionist helping you with your diet? *

Please name any medication you take to manage your diabetes: