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PARQ Form

PAR-Q is designed to help you help yourself. Many health benefits are associated with regular exercise, and the completion of PAR-Q is a sensible first step to take if you are planning to increase the amount of physical activity in your life. For most people, physical activity should not pose any problems or hazard. PAR-Q has been designed to identify the small number of adults for whom physical activity might be inappropriate or those who should have medical advice concerning the type of activity most suitable for them.

Common sense is your best guide to answering these few questions. Please read them carefully and type YES or NO opposite the question if it applies to you. If yes, please explain.

Assumption of Risk I hereby state that I have read, understood and answered honestly the questions below. I also state that I wish to participate in activities, which may include aerobic exercise, resistance exercise and stretching. I realise that my participation in these activities involves the risk of injury and even the possibility of death. Furthermore, I hereby confirm that I am voluntarily engaging in an acceptable level of exercise, which has been recommended to me.

Parq Form

Name

Email

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

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

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

Do you have a bone or joint problem that could be made worse by a change in your physical activity?

Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition?

Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?

Do you know of any other reason why you should not do physical activity? If you answered yes to any of the above please go into more detail below.

Happy You Happy Body

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e. hello@happyyouhappybody.co.uk

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