Par-Q questionnaire 

Please respond below for the Par-Q basic set of 7 questions. They give us a fair idea of your Health condition and if any of the physical activity (dance, herein) may lead to any health issues for you. Having a condition does not mean you can not dance. This is to streamline your learning experience. If you have a pre-existing condition, please consult your Doctor first. Happy Dancing!

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Full Name *
1: Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor? *
Required
2: Do you feel pain in your chest when you do physical activity?
 *
Required
3: In the past month, have you had chest pain when you were not doing physical activity?
 *
Required
4: Do you lose your balance because of dizziness or do you ever lose consciousness? *
Required
5: Do you have a bone or joint problem that could be made worse by a change in your physical activity? *
Required
6: Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition? *
Required
7: Do you know of any other reason why you should not do physical activity?
 *
Required
A copy of your responses will be emailed to the address you provided.
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