• Online client Questionnaire

    Please provide as much information as possible
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  • PAR-Q - Physical activity readiness questionnaire.

    This form is strictly confidential.
  • Have you ever been diagnosed with a bone or joint problem?
  • Do you have any history of high or low blood pressure?
  • Do you have any history of Metabolic diseases, i.e. Diabetes?
  • Do you have any history of high cholesterol?
  • Do you have any history of heart conditions that could affect your ability to exercise?
  • Have you ever experienced pain in your chest while exercising?
  • Are you currently taking any medication,drugs orsupplements prescribed or otherwise?
  • Have you ever experienced a shortness of breath at rest or under mild exertion?
  • Do you have history of heart disease in your family?
  • Do you experience spells of dizziness or blackouts?
  • Are you pregnant, or is there a possibility you could be?
  • Do you know of ANY other reason that could prevent you from participating in a physical activity programme?

  • If you answered YES to any of the questions above and have not already done so, please consult with your GP before participating in any exercise programmes

  • Should be Empty: