top of page

PAR - Q form

3D white transparent.png
To take part in J-Active Classes, Personal Training Sessions or Private Gym session please complete a PAR - Q form prior your first session. 
Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?
Have you ever felt pain in your chest when you were doing physical activity?
In the past month, have you had chest pain when you were not doing physical activity?
Do you often feel faint, have spells or severe dizziness or have lost consciousness?
Have you ever suffered from unusual shortness of breath at rest or with mild exertion?
Has the doctor ever said that you have a bone or joint problem, such as arthritis, that has been aggraveted by exercise or that may be worse by exercise?
Do you have either high or low blood pressure? If yes, which type?
Are you currently on any prescribed medicines that may affect your ability to exercise?
Are you pregnant or have you had a baby in the last 6 months?
Do you know of any other reason that would affect your ability to participate in physical activity?

Thank you for submitting the form!

bottom of page