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PAR - Q
Please fill out the below information.
First name
Last name
Email
Address
Phone
How often do you currently exercise? (weely)
Has your doctor ever said you have a heart condition or high blood pressure?
Yes
No
Have you ever been diagnosed with another chronic medical condition (other than heart disease or high blood pressure)?
Yes
No
Do you feel pain in your chest at rest, during your daily activities of living, OR when you do physical activity?
Yes
No
Are you currently taking prescribed medications fo a chronic medical condition?
Yes
No
Do you currently have (or have had within the past 12 months) a bone, joint, or soft tissue (muscle, ligament, or tendon) problem that could be made worse by becoming more physically active? Please answer NO if you had a problem in the past, but it does not limit your current ability to be physically active.
Yes
No
Has your doctor ever said that you should only do medically supervised physical activity?
Yes
No
If you answered yes to any of the following questions you will need to fill out the PAR-Q Plus form. To find this form please scroll to the very bottom of the home page and clik on "PAR-Q Plus" you will redirected to the form. Please fill out the information, save and email back to us. laura@fitmindtwistedbody@gmail.com
Submit
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