PAR - Q
This Physical Activity Readiness Questionnaire (PAR-Q) provides us with an overview of your lifestyle enablers and barriers prior to an exercise programme being written and starting. The questionnaire is short and easy to follow. All information provided is 'Strictly Confidential' in accordance with our policies & procedures.
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Full Name *
Email Address  *
Date of Birth (DD/MM/YYYY) & Age
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Gender *
What is your occupation? Discuss work patterns and commitments to other activities. i.e. Work Mon-Fri 9-5. Volunteering etc. 
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Describe your lifestyle outside of your occupation. Consider family and activity levels etc.  
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Are you engaging in any physical activity at present? (team sport, individual sport, gym, swimming, running etc?)   Please provide specific details.
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What are your exercise preferences (Bodyweight, Resistance, Cardio if known? If unsure answer 'Unknown'.
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If any, what are your barriers to exercise? Work, Childcare etc?
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What are your reasons for taking part in an exercise programme and what would you like to achieve?
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Do you have any ongoing or historic health concerns, injuries or learning difficulties that we need to be aware of, so we can design the best plan for you to achieve your goals?  *
1. I hereby acknowledge that use of the gym facilities and equipment, participation in the classes, and in the training provided at WN7 FITNESS exposes me to inherent risks which can include accidents, falls, illness, injury or even death.
2. I confirm that I know of no medical, physical or mental reasons why I would not be capable of performing the physical activity in which I choose to participate at WN7 FITNESS.
3. I acknowledge my responsibility in communicating to a staff member prior to commencing activity, any physical and/or mental concerns affecting me which could conflict with participation in my chosen gym activities.
4. I assume all risks of injuries associated with use of WN7 FITNESS and its facilities including, but not limited to falls, contact with other participants, exercises and techniques taught to me by trainers employed by or providing services for WN7 FITNESS and all other risks being known and appreciated by me.
5. Having read this waiver and knowing these facts, in consideration of accepting my use of the gym facilities and of services provided to me at WN7 FITNESS I agree to Hold Harmless, Waive and Release WN7 FITNESS, its directors, employees, representatives, anyone else providing a service at WN7 FITNESS and successors from any responsibility, liabilities, demands or claims of any kind arising out of my use of facilities at WN7 FITNESS or out of my participation in training, classes or anything else organised by or on behalf of WN7 FITNESS.
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