Contact Details and Health Questionnaire

Physical Activity Readiness Questionnaire (PAR-Q)

The following form is a Physical Activity Readiness Questionnaire (PAR-Q). It is used as a medical screen to assess your suitability to starting a new exercise program. Please answer all questions fully and honestly in order to help us help you.

Thank you!

Contact Details

So that we can keep in contact with you (appointment reminders, etc...) please could you let us know the best contact details for you.
Address
City
County
Postcode
Country