Par-Q
Contact info & Par-Q
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Email *
Name *
Address *
Phone number *
Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?
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Do you feel pain in your chest when you do physical activity?
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In the past month, have you had chest pain when you were not doing physical activity?
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Do you lose your balance because of dizziness or do you ever lose consciousness?
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Do you have a bone or joint problem that could be made worse by a change in your physical activity?
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Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition?
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Do you know of any other reason why you should not do physical activity?
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