PARQ

Health questionnaire.
Required before your first class.

Five minutes. Read each question and tick yes or no. If anything changes between now and class, please update us.

About you
Health screening

Tick yes if a question applies to you. Anything you'd like Emma to know goes in the notes box at the end.

1 Has your doctor ever said you have a heart condition or high blood pressure?
2 Do you ever feel pain in your chest when you do physical activity?
3 In the past month, have you had chest pain when not doing activity?
4 Do you lose your balance because of dizziness or do you ever lose consciousness?
5 Do you have a bone or joint problem that could be made worse by exercise?
6 Are you currently taking prescribed medication for blood pressure, heart, or other condition?
7 Have you had any surgery in the last 12 months?
8 Are you currently pregnant, or have you given birth in the last 6 months?
9 Do you know of any other reason you should not do physical activity?
Anything we should know
Bed limits: max 130kg, max 6'3" height.
Sign & agree