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Par-Q Form - required for Pilates

Physical Activity Readiness Questionnaire:


If you are planning to take part in physical activity or an exercise class and you are new to the exercise, start by answering the questions below and make sure you include your name and contact details.


By completing the questionnaire you will be providing information to your instructor that may affect the exercises in the class.


You may be asked to check with your doctor before you start.


All information provided will be treated in the strictest confidence.

Birthday
Day
Month
Year
Has your doctor ever said you have a heart condition and that you should only do physical activity recommended by a doctor?
Yes
No
I declare that the information I have provided is accurate and complete
Yes
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