PARQ Health Questionnaire
Please read the questions carefully and answer each one honestly, ticking the appropriate box or adding
information if necessary. Your responses will of course be kept in the strictest confidence. This form must be
completed, returned to be assessed by your instructor prior to availing the induction services.
Would you like to join a closed FaceBook Group for Regular Tips & Advice?
Facebook Name (if different)
How did you hear about us?
Social Media (Facebook, Instagram)
Physio or other complimentary Therapist referal
Would you like to be added to our subscription list (Receive important class updates & exclusive offers at THE HOPE CENTRE!)
Emergency Contact Person
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