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Blood PressureDiabetesCancerCholestrolPacemakerHeart DiseaseHeart StentsKidney DiseaseImplants
Do you suffer with any problems or injuries with legs, back, neck, arms etc? Please list below.:
Is there any other medical conditions/problems that you are aware of?:
DECLARATION
• I declare to undergo XBody EMS training willingly and through my own responsibility.
• I declare that I am aware of the basics of the Electros Muscle Stimulation (EMS) training method, including any and all circumstances which contraindicate the training for instance, cases in which medical consultation is obligatory or advised and the further warnings and notes as is detailed on page 2 of this document.
• I declare myself to be able to undergo XBody EMS training with respect to my current mental state, health and physical status.
• I declare that I am not aware of thy contraindication (describe below) that may exclude me from the training.
• 1 declare that I have received any and all obligatory medical consultations for the circumstances described below.
• I declare that I will abide by the rules related to the preconditions, aftereffect and the training.
• I declare to inform my physician and Bodytech trainer in case of any change in my mental, physical and health status.
• I declare to inform my doctor and or any other Medical professional involved in my care, in case of any medical intervention of undergoing the XBody EMS training.
• I declare that in case of omitting or non compliance with the terms of this agreement I undergo the training fully and completely through my own responsibility.
• I declare that I will not hold XBody Hungary Kft , Bodytech Fitness Australia Pty Ltd Brighton nor the Bodytech Trainer responsible if any of my unknown mental, health or physical conditions cause side effects or complications of any kind.
• I declare that I will not hold XBody Hungary Kft. Bodytech Fitness Australia Pty Ltd Brighton nor the Bodytech Trainer responsible in case of any side effects, complications, lesions or any undersired change in my physical or health status.
• I understand that risks due to the long-term effects of EMS training are unkown, therefore I will not hold XBody Hungary Kft, Bodytech Fitness Australia Pty Limited Brighton nor the Bodytech Trainer responsible for any undesired effect.
• I declare to follow the instructions given by the Bodytech Trainer before, during and after the training.
• Due to the necessity of close personal contact while putting on and removal of the Training Suit, I declare that in no way would this be misconstrued to be a sexual advancement or harassment of any kind.
• I contribute that my personal and training data will be registered and used.
• Parental consent is obligatory in case of underage clients.
• Do not apply electrical muscle stimulation over the neck (especially over carotid sinus nerves or carotid artery)
• Do no put electrode pairs on the opposite side of the heart (electrodes placed on the chest and the upper back), because the introduced electrical current may flow through the heart which incrases the risk of cardiac fibrillation.
• Do not apply electrical muscle stimulation on the head (eg. Directly on the eyes or covering the mouth).
• Do not apply electrical muscle stimulation together with other electrical measuring instruments applied near on body surface (eg. Pulsemeters).
• The client must no be affected by alcohol or drugs during XBody EMS training.
Please tick to accecpt this declaration
I understand and accept to be bounded by the contents of all of the contraindications and warnings.
IMPORTANT NOTES
Please read carefully the conditiions listed below before starting your training with XBody EMS technology:
• In case of malaise, ailment dizziness or feeling aching tightness around the chest or heart area you must inform the trainer to immediately stop the training.
• If you feel any hotness or discomfort on your skin during the training, you need to ask the trainer to switch off the device.
• There will be reflex-like muscle contration movements caused by stimulation impulses. Maintain pre-contracted muscles if possible and acquire a stable basic position.
• Ensure proper water intake before and after training.
• If you feel necessary have a short break during the training and drink a glass of watr.
• Make sure that you had a proper meal 2-4 hours before your training.
• In case you have your blood analyzed 2-6 days after your last EMS training it is important to inform you doctor to prevent incorrect misinterpretation of your values. High CK value may occure due to EMS training.
If you have any questions contact XBody Hungry Kft. Service support for more information on telephone (+36-96-200-183) or per email (helpdesk@xbodyworld.com). For further information visit our website: www.xbodyworld.com.