Physical Activity Readiness Questionnaire (PAR - Q)
This is a short questionnaire to assess your readiness for physical activity.

For most people physical activity should not pose any problem or hazard. This form is designed to identify the small number of adults for whom physical activity may be inappropriate or for those who should have medical advice concerning the type of activity most suitable for them.

If you are between the ages of 18 and 69, the PAR-Q will tell you if you should check with your doctor before you significantly change you physical activity patterns. If you are over 69 years of age and are not used to being very active, please check with your doctor.

Please read the questions carefully and answer them honestly.
If there any changes to your answers for any of the questions during your membership with studioo, you must notify

The information you provide will be held on google drive's secure server and will not be shared with anyone other than your instructor. The information will be kept for the duration of your membership with studioo and will be deleted afterwards. Your e-mail address will be used to contact you about classes and sessions you've booked including reminders. At the end of your time with studioo, your email address will be removed from our database. It will also be used to contact you regarding studioo classes, products or offers. You can unsubscribe from the latter at any time.
Surname *
Name *
E- mail address *
Age on 01 January 2021 *
1. Has your doctor ever said you have a heart condition and that you should only do physical activity recommended by a doctor? *
2. Do you feel pain in your chest when you do physical activity? *
3. In the past month, have you had a chest pain when you were not doing physical activity? *
4. Do you lose balance because of dizziness or do you ever lose consciousness? *
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? *
6. Is your doctor currently prescribing medication for your blood pressure or heart condition? *
7. Do you know of any other reason why you should not take part in physical activity? (including relating to COVID-19) *
If you have answered Yes question 7, please provide details (optional).
If you have answered "Yes" to one or more questions above, 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. *
Please print your name to confirm that you have read, understood, and accurately and truthfully completed this questionnaire. You confirm that you are voluntarily engaging in an acceptable level of exercise, and you understand and accept that your participation involves a risk of injury. *
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