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Physical Activity Readiness Questionnaire (PAR-Q).

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 become more physically active. If you are over 69 and are not used to being very active, your should always check with your doctor first. Please read each question carefully and tick the box if you answer YES. If you answer YES to any question, you should check with your doctor before starting a programme of physical exercise. By submitting this form you confirm that all information given is correct to the best of your knowledge, and that you accept and understand that participation in a programme of exercise with us is voluntary and that, despite the care taken by your trainer, carries a risk of injury.

1. Has your doctor ever told you that you have a heart condition?

2. Has your doctor said that you should only do physical activity recommended by a doctor?

3. Do you ever feel pain in your chest when you do physical activity?

4. In the past month, have you had a chest pain when you were not doing physical activity?

5. Do you lose balance because of dizziness or do you ever lose consciousness?

6. Do you have a bone or joint problem (e.g. back, hip or knee) that could be made worse by a change in your physical activity?

7. Are you currently being prescribed medication to control blood pressure or a heart condition?

8. Are you or could you be pregnant, or have you given birth within the last 3 months?

9. Do you have diabetes or high blood pressure?

10. Do you know of any other reason why you should not take part in or have to limit any physical activity. (e.g. Other illness or disease, recent surgery, injury)