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!

  • Welcome
  • Emergency Contact Details
  • Medical Questionnaire

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.
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Address
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