Please indicate the source
from which you learned about
us
Friends
Recommendations
2GIS
Recommendations
Yandex Maps /
Google Maps
Social networks
Online
Advertisements
Television /
Radio / Other
offline media
Handout
Center Invitation
Instagram Profile:
BirthDay:
Height:
Weight:
Would you like:
AESTHETICS
HEALTH
SPORT
• Intensive safe weight loss;
• Local figure correction;
• Muscle building and body
shaping;
• Change in physical parameters
and body volumes;
• Formation of a relief and aesthetically attractive body;
• Strengthening the muscles of the
abdominal cavity;
• An increase in the buttocks and
giving them elasticity and the effect
of tightness;
• Getting rid of cellulite;
• Improving the condition of the
skin due to vascularization
processes;
• Increasing skin elasticity;
• Recovery of a figure after
childbirth;
• Restoring posture and
strengthening the muscles of the
musculoskeletal system
• Recovery of muscle functions
after injuries;
• Strengthening the muscles of the
abdominal cavity, supporting
important vital organs;
• Getting rid of pain in the back,
neck;
• Restoring the functioning of body
systems by cleansing it with
effective and natural methods;
• Stimulation of metabolic
processes and getting rid of
cellulite;
• Decreased blood sugar;
• Normalization of liver and gall
bladder functions effective and
natural;
• Normalization of blood pressure;
• Decreased levels of swelling and
heaviness in the legs;
• Increase, strengthening, muscle
development;
• A set of muscle mass;
• Lack of load on the joints;
• Creating a beautiful muscle relief;
• Increased muscle endurance;
• Change in physical parameters and body volumes;
• Safe "drying" of the body under
the supervision of a doctor;
• Qualitative redistribution of fat
and muscle mass;
• Improving body control and
balance;
• Improving overall fitness
Lifestyle:
Inactive
Average
activity
Active
Nature of work / Schedule
(including hours)
Sedentary
On foot
activity
Alternating periods
How regularly do you eat?
Pernicious habits
CONTRAINDICATIONS FOR EMS TRAINING
Absolute contraindications:
• Pregnancy and lactation;
• Diseases accompanied by high fever, acute bacterial or viral processes;
• Use of a pacemaker;
• Inguinal hernia or hernia of the abdominal wall;
• Gallstones and kidney stones;
• Severe neurological diseases (epilepsy);
• tuberculosis;
• Oncological diseases;
• Open skin lesions, skin eczema, psoriasis, dermatitis, dermatosis, skin reaction (incompatibility);
• Progressive atherosclerosis;
• Violations of the blood coagulation system (thrombosis, hemophilia);
• Diseases of the organs of vision: high myopia (myopia), retinal dystrophy, a history of retinal
detachment and rupture;
• A complicated form of diabetes (use of an insulin pump).
Relative contraindications (doctor consultation required):
• General malaise;
• Intervertebral protrusion and disc herniation, decompression fractures of vertebral bodies;
• bone disease;
• Use of metal implants;
• Acute arthritis;
• Acute neuralgia;
• Ascites, lymphatic edema.
If in doubt, be sure to consult your doctor before starting workouts.
With my signature I,
I confirm that I am a competent, adult person and that I am 18 years old or more (or my parent / guardian acts
on my behalf) and that:
• I have read and understand the information contained in the questionnaire;
• I was reliably explained the procedure by a center specialist;
• I had the opportunity to ask questions, and all questions were given to me comprehensive answers;
• I have received all the necessary information regarding this procedure;
• I have the right to agree or refuse the procedure itself before it is carried out;
• I am responsible for the accuracy of the data I have provided.