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PARQ
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Class Types
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About
Contact Us

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Please answer all questions

Has your doctor ever said you had a heart condition and recommended only medically supervised activity?

Yes No

Do you have chest pain brought on by physical activity?

Yes No

Have you developed chest pain in the last month?

Yes No

Do you tend to lose consciousness or fall over as a result of dizziness?

Yes No

Do you have a bone or joint problem that could be aggravated by the proposed physical activity?

Yes No

Has the doctor ever recommended medication for your blood pressure or a heart condition?

Yes No

Are you aware through your own experience, or from a doctor’s advice, of any other physical reason why you should not exercise without medical supervision?

Yes No

Are you currently, or have you been pregnant in the last six months?

Yes No

If you have ticked any of the “yes” boxes above you must have your doctor’s written consent before undertaking any exercise class/session provided by The Personal Fitness Company.

Please view our Privacy Policy for information on PARQ's

Acceptance

I confirm that all the above statements are correct and if anything should change I will inform the Personal Fitness Company immediately.

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Contact: Cathy Mansell, The Personal Fitness Company. Telephone or Text 07711 149 727. Email sales@thepersonalfitnesscompany.co.uk

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