The health benefits of regular physical activity are clear; more people should engage in physical activity every day of the week. Participating in physical activity is very safe for MOST people. This questionnaire will tell you whether it is necessary for you to seek further advice from your doctor before becoming more physically active.

✅ If you have answered NO to all of the questions above, you are cleared for physical activity.

Please complete the Participant Declaration at the end of page 3.

You do not need to fill in Pages 2+

It is advised that you consult your fitness professional to proceed safely

Start slowly & build up gradually As you progress, aim to accumulate 150 minutes+ of moderate physical activity a week. If you are over the age of 45 and NOT accustomed to regular, vigorous activity, consult your fitness professional before starting a programme.

I TAKE FULL RESPONSIBILITY FOR MYSELF DURING FITNESS CLASSES & EXERCISE AT MY OWN RISK.

⚠️ Delay becoming physically active if you have a temporary illness such as a cold, you are pregnant, or your health changes & you have yet to get a medical consultation. 

✅ If you answered NO to all of the FOLLOW-UP questions (page 2) about your medical condition, you are ready to become more physically active- sign the PARTICIPANT DECLARATION below:

It is advised that you consult your fitness professional to proceed safely 
Start slowly & build up gradually
As you progress, aim to accumulate 150 minutes+ of moderate physical activity a week.
If you are over the age of 45 and NOT accustomed to regular, vigorous activity, consult your fitness professional before starting a programme.

⚠️ Delay becoming physically active if you have a temporary illness such as a cold, you are pregnant, or your health changes & you have yet to get a medical consultation.

🛑If you answered YES to one or more of the FOLLOW-UP questions about your medical condition: You should seek further medical assurance before becoming physically active.

PARTICIPANT DECLARATION All persons who have completed the PAR-Q+ please read & sign the declaration below. I, the undersigned, have read & understood to my full satisfaction and completed this questionnaire. I acknowledge that this physical activity clearance is valid for a maximum of 12 months from the date it is completed and becomes invalid if my condition changes. If appropriate I have taken doctors advice on the suitability of the classes for me. I also acknowledge that the fitness instructor will retain this information in paper form following the General Data Protection Regulations & ensure confidentiality of personal information at all times.

I TAKE FULL RESPONSIBILITY FOR MYSELF DURING FITNESS CLASSES, BOTH VIRTUAL OR FACE TO FACE & I ACCEPT THAT I EXERCISE AT MY OWN RISK.