PAR-Q Form

A PAR-Q Form is a simple, self-administered health screening tool designed to check if an individual is ready to start an exercise program or first needs clearance from a medical professional.

To fill in a PAR-Q (Physical Activity Readiness Questionnaire), please complete the form below or download a PDF-version of the form here to print out and return.

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Thank you for your response. ✨

Have you done Pilates before?(required)
Are you able to get up & down from the floor independently?(required)
Are you happy for your instructor to use light touch to adjust your position, posture or exercise technique?(required)
Are there any movements that cause you pain?(required)
Do you have any vision or hearing issues?(required)
Have you had any surgery?(required)
Have you had a recent injury?(required)
Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?(required)
Do you ever feel pain in your chest when you do physical activity?(required)
Have you ever had chest pain when you were not doing physical activity?(required)
Do you lose your balance because of dizziness or do you ever lose consciousness/feel faint?(required)
Are you currently taking any medication that your instructor should be made aware of? (If your answer is YES, please state what and why in the FURTHER INFORMATION box below)(required)
Do you have a joint or back problem which could be made worse by exercise?(required)
Are you pregnant or have you had a baby in the last 6 months?(required)
Do you know of any other reason why you should not participate in physical activity?(required)

IMPORTANT:

IF YOU HAVE ANSWERED YES TO ANY OF THE ABOVE QUESTIONS, YOU ARE ADVISED TO SPEAK TO YOUR GP FOR MEDICAL ADVICE AND APPROVAL BEFORE COMMENCING AN EXERCISE PROGRAMME.

DECLARATION:

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