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HEALTH QUESTIONNAIRE

Physical Activity Readiness Questionnaire (PARQ)

Before you start training, please take a moment to fill out the PARQ.

Read each question carefully and please answer all questions - the questions are designed to identify whether or not you should consult a doctor prior to beginning a program of physical exercise. 

Has a doctor ever said you have a heart condition and recommended medically supervised physical activity?
Do you have chest pain brought on by physical activity?
Do you tend to lose consciousness, feel faint or have spells of dizziness?
Has your doctor recommended medication for blood pressure?
Do you have a bone or joint problem (such as arthritis) that could be aggravated by physical activity?
Are you aware, through your own experiences or a doctor's advice, of any other reason against you exercising without medical supervision?
Are you over the age of 65 and not accustomed to vigorous exercise?
Are you, or have you been pregnant in the last 6 months?
Do you suffer from asthma?
Have you ever been diagnosed with epilepsy?
Do you have diabetes?

If you answered YES to one or more of the questions above, please answer the following questions:

Have you consulted your physician regarding increasing your physical activity and or performing a fitness assessment?
If NO, will you consult your physician prior to increasing your physical activity and/or performing a fitness assessment?

RELEASE AND WAIVER OF LIABILITY - MEMBERS ACKNOWLEDGEMENT AND ASSUMPTION OF RISK AND FULL RELEASE FROM LIABILITY OF BARNARD FITNESS

 

The participant acknowledges that bootcamp training includes participation in strenuous physical activities, including but not limited to aerobic movement and weight training. The participant agrees to assume all risk and responsibility involved with participation in these physical activities. The participant affirms that he/she is in good physical condition and does not suffer from any disability that would prevent participation in physical activities. Any disability will be declared to the trainer before activities commence, and alternative exercises discussed. The participant acknowledges that participation will be physically and mentally challenging, and it is their responsibility to seek competent medical or other professional advice regarding any concerns involved with the ability of member to take part in these physical activities. The participant agrees to assume all risks in responsibility for not exceeding his/her physical limits.

MARKETING CONSENT

LIFESTYLE & FITNESS QUESTIONS

Have you ever participated in a fitness program?

Thank you for taking the time to complete, we will discuss your lifestyle & fitness goals in more detail in your first session. 

Thank you for completing. If you have any questions please do get in touch.

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