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PARQ

Please read the following questions carefully and answer honestly. If you answer ‘Yes’ to any, you may be required to provide medical clearance before participating in physical activity.

Name
Has your doctor ever said that you have a heart condition or high blood pressure?
Do you feel pain in your chest when you do physical activity?
Have you ever lost balance, felt dizzy, or lost consciousness during exercise?
Do you have a bone, joint, or other health problem that could be made worse by physical activity?
Are you currently taking prescribed medication for a heart condition or blood pressure?
Are you pregnant or have you given birth in the last six months?
The information I have provided is accurate and complete to the best of my knowledge. I understand that if I have answered 'Yes' to any question, I may need medical clearance before participating in physical activity.