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Physical Activity Readiness Questionnaire

This questionnaire determines the safety or possible risk of exercising for an individual based on their health history, current symptoms and risk factors. It can also help me to design an ideal exercise programme based on these results.

Click the button below to start.

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Question 1 of 2

If you can answer YES to any of the questions below, please consult your Doctor for approval prior to participating in a fitness session:

(Select all that apply)
A

Do you ever have pains in your chest?

B

Have you had any operations or injuries in the last year?

C

Do you often feel faint or have spells of dizziness?

D

Are you receiving medication for any condition?

E

Do you have high blood pressure?

F

Do you have a bone or joint problem, such as Arthritis, Osteoporosis, Back or Knee problems?

G

I do not have any medical condition or injury that will impact my ability to perform this exercise class or programme.

Question 2 of 2

You can use the space below to tell me about any of the questions that you ticked. Please also let me know if there is anything else I should know about your health that might inhibit your full participation in an exercise class/programme?  

Confirm and Submit