Holly's Breathing Space Yoga PARQ
Holly's Breathing Space Yoga Updated PAR-Q From
Name and Contact Phone Number *
Do you have any bone or joint injuries or conditions that may affect your ability to participate in exercise (arthritis, osteoporosis etc.) *
If yes please give further information. Including diagnosis, doctor's recommendations for participation and/or any medication you are taking
Do you have any medical conditions or injuries that may affect your ability to participate in exercise? *
If yes please give further information. Including diagnosis, doctor's recommendations for participation and/or any medication you are taking
Do you have any mental health conditions that may affect your participation in breathing exercises, meditation or exercise?
Clear selection
If yes please give further information. Including diagnosis, doctor's recommendations for participation and/or any medication you are taking
Please tick to confirm that you understand and agree to the following: 1. If you answered 'yes' or any of the above questions you must check with your doctor before participating in any new exercise and follow all their recommendations in relation to your injury or condition 2. If there are any parts of the Yoga session which are unclear to you please ask for clarification 3. If anything hurts during your Yoga session you will stop immediately and inform the instructor. *
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy