PAR-Q and T&C submit form | MANA LIFESTYLE

YOUR JOURNEY, YOUR POWER

PAR-Q (Physcial Activity Readiness Questionnaire) | T&C

Name

What's your Age?

What is your Height (cm)?

What is your current Weight (kgs)?

Has your doctor ever said that you have a Heart Condition?

Has your Doctor ever said that you have High Blood Pressure?

Do you feel pain in your Chest at rest, during Activities of Living or when you do Physical Activity?

Do you Loose Balance because of dizziness OR have you lost consciousness in last 12 months? Please answer NO if your Dizziness was associated with over-breathing (including Vigorous Exercise)

Have you ever been diagnosed with another Chronic Medical Condition (other than Heart Disease or High Blood Pressure)?

Are you currently taking Prescribed Medications for a Chronic Medical Condition?

Do you currently have (or have had within the past 12 months) a Bone, Joint or Soft Tissue (Muscle, Ligament or Tendon) problem that could be made worse by becoming more Physically Active ?

Please answer NO if you had a problem in the past, but it does not limit your current ability to be physically active.

Has your Doctor ever said that you should only do Medically Supervised Physical Activity?

Declaration:

Participating in exercise involves inherent risks, and it is crucial to refrain from engaging in any activity for which you have received advice against. If you respond 'yes' to any of the questions above, it is strongly recommended to seek medical advice before commencing exercise.

If you answer 'yes' to certain questions: It is advisable to consult with your doctor BEFORE significantly increasing your physical activity.

By checking this box, I declare that, to the best of my knowledge: I am not aware of any reason why I should not engage in physical activity. I acknowledge that I am voluntarily undertaking physical activity at MY OWN RISK, understanding that inherent risks and dangers are associated with physical exercise.

By checking this box, you confirm that you have read, understood, and agree to abide by our Terms and Conditions. Checking this box indicates your consent and acceptance of the terms outlined in the document. Please make sure to review the terms before proceeding.