Register now for a free trial session of EMS

Yes, you want to try out Electro Fitness, how nice. You are most welcome.

Because your health and safety are paramount at Manggorobe, we ask a few questions. This allows our professionals to assess if and how Electro Fitness is safe and effective for you.

For people with heart problems, high blood pressure and certain medications, there are risks that we like to avoid. For medical issues, we always recommend consulting with your doctor before we start.

Fill out the registration form below to request a free trial session. We will contact you as soon as possible.

Registration form

Par-Q questionnaire

De Physical Activity Readiness Questionnaire (PAR-Q) is een korte vragenlijst waarmee een professional kan inventariseren of een patiënt verantwoord kan deelnemen aan een oefenprogramma. For most people, physical activity will pose no problems or dangers. However, it is important to use this questionnaire to identify those individuals for whom physical activity is less appropriate or for whom it is prudent to obtain medical advice on the type of activity that is most appropriate.

To avoid unnecessary risks, the questions below must be answered before undergoing the trial session of EMS training. Participation in the EMS training sessions is at your own risk. At the end of the questionnaire there is space for medical details, which may be of interest, e.g.: any surgeries, physical problems. Analyzing someone's medical history is crucial. It gives the health and fitness professional insight into possible life-threatening chronic conditions such as cardiovascular disease, high blood pressure, diabetes or rheumatism.
1. Has a doctor ever told you that you have a heart problem and that you should perform physical exercise only on the advice of a doctor?
2. Do you experience chest pain with physical exertion?
3. In the past month, have you experienced chest pain while not performing any physical activity?
4. Do you ever lose your balance due to dizziness or do you ever lose consciousness?
5. Do you have a skeletal or joint problem (e.g., back, knee or hip) that may be aggravated by a change in you physical (sports) activity pattern?
6. Is your doctor currently prescribing medication (e.g., urinary pills) related to blood pressure or heart problem?
7. Are you aware of any other reasons why you should not perform physical exercise?
Een EMS training met de XBody werkt met een impulsintensiteit binnen het micro-ampere bereik. Deze intensiteit is volledig veilig voor het menselijk lichaam. Er zijn echter een aantal aandoeningen en omstandigheden, waarbij het trainen met de XBody wordt afgeraden of alleen wordt toegestaan na goedkeuring van een geneesheer of behandelaar. Voor die goedkeuring ontvangt het management van Manggorobe Fit Forward graag een begeleidend schrijven. The approval of a physician or practitioner is required if you have one or more of the following indications.

If you suffer from any of the contraindications listed below, participation in EMS session is prohibited:
- Epilepsy;
- Pacemaker/ Stents;
-Pregnancy (though ideally after pregnancy);
- (Strong) irregularities in blood flow;
- Bowel wall hernia or inguinal hernia;
- Tuberculose;
- Tumors;
- Arteriosclerosis (arteriosclerosis) in advanced stages or other irregularities in vascular blood flow;
- Serious neurological disorders;
- Diabetis Mellitus (suikerziekte type I en II);
- Hemophilia (bleeding, strong bleeding diathesis);
- Open wounds or irritated skin or other than mentioned skin disease.
I hereby declare by signing this application form::
- Agree to the articles in Manggorobe's Terms and Conditions which apply to attending an EMS trial training;
- Agree to the house rules;
- Agreement to complete a PAR-Q questionnaire; - Not be under the influence of alcohol or contrabands prior to 48 hours and/or during an EMS session;