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Physical Activity Readiness Questionnaire

We ask all of our clients to fill out this form for all of the training services we provide. 1-1 personal training, online personal training and bootcamp classes.

If you are between the ages of 15 and 69, the PAR-Q will tell you if you should check with your doctor before you significantly change your physical activity patterns. If you are over 69 years of age and are not very active, check with your doctor

Please read the questions carefully and answer each one honestly:

About You
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  5. (valid email required)
  7. (required)
  8. (required)
Physical Activity Readiness Questionnaire
  1. Please tick Yes/No
  2. 1. Has your doctor ever said you have a heart condition and that you should only do physical activity recommended by a doctor?
  4. 2. Do you feel pain in your chest when you do physical activity
  6. 3. In the past month, have you had a chest pain when you were not doing physical activity?
  8. 4. Do you lose your balance because of dizziness or do you ever lose consciousness?
  10. 5. Do you have a bone or joint problem (for example, back, knee or hip that could be made worse by a change in your physical activity?
  12. 6. Is your doctor currently prescribing medication for your blood pressure or heart condition?
  14. 7. Have you given birth within the last 3 months?
  17. YES to one or more questions: You should consult with your doctor to clarify that it is safe for you to become physically active at this current time and in your current state of health.
  18. No to all questions: You can be reasonably sure that is it safe for you to participate in physical activity, gradually building up from your current ability level. A full fitness appraisal can help to determine your fitness level
  19. N"I have read, understood and accurately completed this questionnaire. I confirm that I am voluntarily engaging in an acceptable level of exercise, and my participation involves a risk of injury."
  20. (required)
Attendance
  1. When do you plan on starting?
  3. Which class day most interests you?
Optional Questions
 

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