Outdoor Training PAR-Q

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Please complete the questions below

First and Surname *

Has your doctor ever told you that you have a heart condition or have ever suffered a stroke? *

Yes

Do you ever experience unexplained pains in your chest at rest or during physical activity / exercise? *

Yes

Do you ever feel faint or have spells of dizziness during physical activity/exercise that causes you to lose balance? *

Yes

Have you ever had an asthma attack requiring immediate medical attention at any time over the last 12 months? *

Yes

If you have diabetes (type I or type II) have you had trouble controlling your blood glucose in the last 3 months? *

Yes

Do you have any diagnosed muscle, bone or joint problems that you have been told could be made worse by participating in physical activity/exercise? *

Yes

Do you have any other medical condition(s) that may make it dangerous for you to participate in physical activity /exercise? *

Yes

I believe that to the best of my knowledge all of the information I have supplied within this screening is correct and by clicking yes I agree to undergo these classes at my own risk. *

Yes

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