PHYSICAL ACTIVITY READINESS QUESTIONNAIRE (PAR-Q)

ALL INFORMATION WILL BE TREATED CONFIDENTIALLY

Have you experienced any of the following, past or present? Tick all that apply

IF YOU HAVE SELECTED ANY OF THE ABOVE AND ARE CONCERNED ABOUT DOING EXERCISE, PLEASE SPEAK TO YOUR GP BEFORE STARTING AN EXERCISE PROGRAMME

DECLARATION

 

If you have answered no to all questions you can be sure that you can start to become more physically active and take part in a suitable exercise programme.  Do begin slowly and build up gradually!

 

By taking part in a Pilates class and signing this declaration you are confirming that you have read and understood this PAR-Q form. Participants take part in exercise at their own risk.  

 

If your doctor has recommended that you avoid any particular exercise, please make sure you inform your Pilates instructor.  If your health changes subsequently so that you answer YES to any of the above questions, please inform your instructor immediately.  

Confirm information is correct*

Confirm your responsibility* 

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