Medical History / Health Questionnaire
All information in this Physical Activity Readiness Questionnaire (PAR-Q) will be stored securely and confidentially and not passed on to third parties - General Data Protection Regulation (GDPR). Get Fit Boot Camp hold public liability insurance to the amount of £5m.

Regular exercise is associated with many health benefits however any marked change of activity may increase the risk of injury. Completion of this questionnaire is the first step when planning to increase the amount of physical activity in your life.

If you answer Yes to any of the below questions, talk with your doctor BEFORE you become more physically active. Tell your doctor your intent to exercise and to which questions you answered yes.

If you honestly answered No to all questions you can be reasonably positive that you can safely increase your level of physical activity gradually. If your health changes so that you would then answer yes to any of the below questions, seek guidance from a doctor before continuing.

Please stay hydrated and work at your own pace during the exercise sessions / cross country race. Take rest where needed and inform the personal trainer if you feel unwell or concerned at any time.

Please read each question carefully and answer honestly / tick where appropriate.
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Has a doctor ever said you have a heart condition and you should only do physical activity recommended by a doctor? *
When you do physical activity, do you feel pain in your chest? *
When you were not doing physical activity, have you had chest pain in the past month? *
Is there any history of heart disease in your parents or siblings aged 55 or less? *
Do you ever lose consciousness or do you lose your balance because of dizziness? *
Do you have a joint or bone problem that may be made worse by a change in your physical activity? *
Have you ever suffered from high or low blood pressure? *
Is a doctor currently prescribing medications for your blood pressure or a heart condition? *
Are you pregnant, or have you been pregnant in the last 6 months? *
Have you ever suffered from high cholesterol? *
Do you have insulin dependent diabetes? *
Are you 69 years of age or older? *
Have you ever suffered from asthma, chronic bronchitis or any other chest ailments? *
Have you ever suffered from severe headaches or migraines? *
Have you ever suffered from severe back pain? *
Are you recuperating from any recent illness, operation or injury? *
If Yes please provide details below (under other)
Are you currently taking any form of medicine? *
If Yes please provide details below (under other)
Do you know of any reasons why you should not exercise or increase your physical activity? *
If Yes please provide details below (under other)
Name *
Address (including postcode) *
Mobile *
E-mail address *
Occupation *
Date of birth *
Next of kin / name of emergency contact *
Telephone number for your next of kin / emergency contact *
Disclaimer agreement *
By ticking the following 'Agree' button you have agreed to participate in one of the Get Fit Boot Camp exercise sessions which includes strength training, circuit training, kettlebells, skipping, running, agility drills, team games, boxing, step aerobics, cross country race, flexibility and mobility exercise and that you have answered all the above Physical Activity Readiness Questionnaire (PAR-Q) correctly and honestly. You acknowledge that the training sessions / races take place outdoors in all weather conditions and all seasons and that there are risks involved including (but not limited to) those caused by terrain, facilities, temperature, weather, your current physical condition, equipment and the actions of other participants / the general public. Also you understand that if you answered YES to any of the Medical History Questions / Health Questionnaire on this PAR-Q you are required to seek medical advice before commencing any training. Furthermore you understand that if you choose to commence training without seeking such advice, you are placing yourself at risk willingly and are therefore entirely responsible for any consequences arising from such participation. You understand that Get Fit Boot Camp or any of the team may not be held responsible for any injuries or ill health of any kind arising from attendance at any training session / races. Please click the 'Agree' button now then submit your form and we look forward to meeting you soon.
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