Gym health questionnaire Form

Members Welcome Form
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Clients informations - Health questionnaire (Par-Q)
Many health benefits are associated with regular exercise, and the completion of PAR-Q is a sensible first step to take if you are planning to increase the amount of physical activity in your life.

For most people physical activity should not pose any problem or hazard. PAR-Q is designed to identify the small number of adults (15 to 69) for whom physical activity might be inappropriate or those who should have medical advice concerning the type of activity most suitable for them.

Common sense is your best guide when you answer these questions. Please read the questions carefully and answer each one honestly:

Par-Q *

	Yes	No
Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?
Do you feel fain in your chest when you do physical activity?
n the past month, have you had chest pain when you were not doing physical activity?
Do you lose balance because of dizziness or do you ever lose consciousness?
Do you have bone or joint problem (for example, back, knee, or hip) that could be worsen by a change in your physical activity?
Is your doctor currently prescribing drugs (for example water pills) for your blood pressure or heart condition?
Do you know of any other reason why you should not do physical activity?
I have NO symptoms or signs of COVID19

Yes to one or more questions-Having answered YES to one of the above questions, I am going to sought medical advice before I start regular exercise.

No to all questions-I have read, understood and accurately completed the questionnaire. I confirm that I am voluntarily engaging in an acceptable level of exercise, and my participation involves a risk of injury.
No to all but I do wish to make you aware:
Please give more detail if you are happy to exercise but DO have a condition you wish to discuss with us.
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Client informations - Liability waiver
I am aware of the risks in observing or participating in the activities offered by 1StepFitness and I understand that all sports or fitness that I will execute and participate in are entirely at my own risk and perils. I assume complete responsibility and liability for those risks and for the injuries that may occur as a result of these risks, even if injuries occur in a manner that is not foreseeable at the time I sign this agreement. I realise that by voluntarily assuming the risks involved, I will be solely responsible for any loss or damage I sustain, including personal injuries to me, damage to my property, or damage arising out of my death. It is understood that 1Stepitness is responsible for any damage that would be resulting from a fault of 1Stepitness and its representatives.
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Privacy Policy
Privacy Policy Document
I agree and heave read the 1StepFitness privacy policy regarding how my data will be used
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What Is your main goal

Weight Loss Move more freely/ reduce aches & pains Become fitter healthier & happier
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Members Welcome Form

Clients informations - Health questionnaire (Par-Q)

Client informations - Liability waiver

Privacy Policy

Client - Signature