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Inspire Fitness Physical Activity Readiness Questionnaire (PAR-Q) 2023
Please fill out the following form
in order to participate in our activity.
First name
Last name
Email
Date of Birth
Emergency Contact Name & Number
Photographs and Videos may be taken during the session for social media & marketing purposes. Do you consent to your images being used?
Yes
No
Has your doctor ever said you have a heart condition and that you should only do physical activity recommended by a doctor?
Yes
No
Do you ever feel pain in your chest when you do physical activity?
Yes
No
Do you ever feel faint, have spells of dizziness or imbalance during exercise?
Yes
No
Do you have a joint problem that could be made worse by exercise?
Yes
No
Have you ever been told you have high blood pressure?
Yes
No
I declare that the info I’ve provided is accurate & complete
I accept terms & conditions
Submit
Thanks for submitting!
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