PAR-Q - BB Wellness Solutions & Informed Consent

If you answered "Yes" to questions 1-10, you must consult a physician before engaging in physical activity. Tell your physician which questions you answered "Yes" to. After a medical evaluation, seek advice from your physician on what type of activity is suitable for your current condition and what specific exercise limitations you may have. In most cases, you will still be able to do activity as long as you adhere to some guidelines.

If you answered "Yes" to questions 11-14, please provide details so that your training can be appropriately modified. Medical clearance may be recommended depending on the nature of your condition.

If you answered "No" to all the PAR-Q questions, you can be reasonably sure that you can exercise safely and have a low risk of having any medical complications from exercise. It is still important to start slowly and increase gradually.

When to delay the start of an exercise program:
If you are not feeling well because of a temporary illness, such as a cold or a fever, wait until you feel better to begin exercising.
If you are or may be pregnant, talk with your doctor before you start becoming more active.

Thank you for choosing to use the activities, programs or services of BB Wellness Solutions.

DESCRIPTION OF THE EXERCISE PROGRAMME

I understand that the exercise programme will involve participation in various types of fitness activities. These activities may include aerobic exercise, muscular endurance and strength building exercises, flexibility and mobility work, and mind-body practices such as yoga and Pilates. Training may utilise bodyweight, free weights, resistance bands, kettlebells, steel mace, TRX, machines (such as treadmills or rowing machines), and other exercise equipment. If undertaking personal training, selected physical fitness assessments and body composition tests may be done.

DESCRIPTION OF NUTRITION, LIFESTYLE AND BEHAVIOUR CHANGE COACHING (As Applicable)

I understand that nutrition and lifestyle coaching is educational in nature and is designed to help me develop skills and habits that support my overall health, energy, recovery, and wellbeing. Coaching may include guidance on general healthy eating principles, meal-planning strategies, mindful and intentional eating practices, behavioural nutrition strategies, and evidence-informed approaches related to sleep, stress management, and daily routines.

I understand that all nutrition guidance is provided within the coach’s scope of practice and is not a substitute for medical nutrition therapy or clinical treatment. Coaching does not diagnose, treat, or cure medical conditions; provide prescriptive meal plans; give advice for eating disorders; or replace the guidance of a registered dietitian, GP, or other healthcare professional.

I understand that behaviour-change and mindset coaching may include values and goal clarification, habit-building strategies, self-monitoring tools, and reflective practices. This coaching is not psychotherapy or mental-health treatment and does not replace support from a qualified mental-health professional.

I understand that if I disclose symptoms or concerns outside the coach’s scope — including possible disordered eating/eating disorders, significant mental-health concerns, unexplained weight changes, or medical conditions — I may be advised to seek medical evaluation or be referred to an appropriate professional.

DESCRIPTION OF POTENTIAL RISKS

I understand that no exercise programme is without inherent risks regardless of the care taken by a personal trainer, and that my personal safety cannot be guaranteed by my personal trainer. I realise that when participating in exercise, there is a chance of experiencing adverse physical conditions that may include the following: high blood pressure, exercise-induced asthma, chest pain, dizziness, faintness, musculoskeletal injuries (including but not limited to strains, sprains, bruises, separations, dislocations, spasms and fractures), skin wounds/lesions, hypoglycemia, myocardial infarction, cardiac arrhythmia, stroke, paralysis, dehydration, and in rare cases, death.

Should I experience any physical discomfort while exercising, I will discontinue my activity immediately and inform my trainer of my symptoms. I understand that my own careful control of exercise efforts and techniques is necessary to minimise the occurrence of these risks. I understand these potential risks, but it is my desire to voluntarily participate as indicated herein.

I understand that nutrition, lifestyle, and behaviour-change coaching is educational and generally low risk. Making changes to my habits or reflecting on existing patterns may create temporary discomfort or increased emotional awareness. I understand that this coaching is not medical nutrition therapy, does not provide prescriptive meal plans for medical conditions, and does not diagnose or treat health conditions, eating disorders, or mental-health concerns. If any issues arise that fall outside my coach's scope—such as symptoms requiring medical assessment or concerns around disordered eating—I may be encouraged to seek support from an appropriate healthcare professional.

DESCRIPTION OF POTENTIAL BENEFITS

I understand that the Programme may or may not benefit my physical fitness or general health. I recognise that my active participation in the Programme will allow me to learn proper ways to perform conditioning exercises. I understand that a regular exercise programme has been shown to have definite benefits to general health and well-being. I know that some of the benefits can include loss of weight, reduction of body fat, improvement of blood lipids, lowering of blood pressure, improvement of cardiovascular function, reduction in the risk of heart disease, improved strength and muscular endurance, improved posture, and improved flexibility.

I understand that nutrition, lifestyle, and behaviour-change coaching may or may not benefit my overall health and wellbeing. I recognise that active participation and honest engagement will allow me to develop sustainable skills and habits. I understand that potential benefits may include improved relationship with food, increased awareness of hunger and fullness cues, more consistent energy levels, better sleep quality, improved stress management, greater confidence in food choices, and development of habits that support long-term health goals. I understand that results vary between individuals and depend significantly on my commitment and application of coaching strategies.

PARTICIPANT RESPONSBILITIES

I understand that it is my responsibility to:

1. Fully disclose any health issues or medications that are relevant to participation in a strenuous exercise programme.
2. Cease exercise and report promptly any unusual feelings (e.g., chest discomfort, nausea, difficulty breathing, joint discomfort, apparent injury) during the exercise programme.
3. Report any pain, discomfort, or unusual symptoms that develop in the hours or days following a session. I will communicate these symptoms to my trainer before the next session so that programming can be adjusted appropriately.
4. Clear my participation with my physician when appropriate.

I understand that if I participate in nutrition or behaviour-change coaching, I am responsible for sharing any relevant concerns about my eating habits, routines, or challenges that arise during the coaching process. I recognise that this support is educational and non-clinical in nature and does not replace medical or specialist dietitian care. If issues arise that require medical or mental-health support, I understand that it is my responsibility to seek guidance from an appropriate healthcare professional.

As a participant, I agree to abide by the policies, procedures, rules, and guidelines of the Programme. I have read, understood and completed the PAR-Q. All questions have been answered to the best of my knowledge.

PARTICIPANT ACKNOWLEDGEMENTS

In agreeing to this/these programmes:

I acknowledge that participation is at my own pace and comfort level and that I may discontinue my participation in the sessions at any time.
I understand the potential physical risks involved in the exercise programme and believe that the potential benefits outweigh those risks.
I give consent to certain physical touching that may be necessary to ensure proper technique and body alignment, and I understand that I may withdraw this consent at any time.
I understand that the achievement of health or fitness goals cannot be guaranteed.
I have been able to ask questions regarding any concerns I might have and have had those questions answered to my satisfaction.
I have disclosed all health conditions, injuries, pain, and physical limitations to my trainer, including any that develop during our work together.
I have been advised to cease activity immediately if I experience unusual discomfort or pain and feel the need to stop.
I understand that if I participate in nutrition or behaviour-change coaching, this support is educational and non-clinical in nature. It does not replace medical care or specialist dietitian support, and I am responsible for seeking appropriate professional guidance if needed.
I understand that nutrition and behaviour-change coaching results depend significantly on my own engagement, honesty, and application of strategies between sessions, and that outcomes cannot be guaranteed.

I have read and understand the above agreement, and I am freely signing this agreement. I hereby release BB Wellness Solutions from any and all claims, demands, judgments, disputes, and causes of action arising from my participation in the the services provided by BB Wellness Solutions..

Rows	Yes	No
Has your doctor ever said that you have a heart condition (had a stroke, heart attack, or heart surgery) and/ or that you should only do physical activity recommended by a doctor?
Do you feel pain in your chest when you do physical activity?
In the past month, have you had chest pain when you were not doing physical activity?
Do you lose your balance because of dizziness or do you ever lose consciousness?
Have you ever been told by a doctor that you have bone, joint, or muscle problems that could be made worse by physical activity?
Do you have a diagnosed illness that could be made worse by physical activity?
Is your doctor currently prescribing medication for your blood pressure or heart condition? If yes, please provide your most recent blood pressure reading and medication details in the box below.
Have you ever suffered from unusual shortness of breath at rest or with mild exertion?
Are you currently experiencing any symptoms that have not been evaluated by a doctor?
Have you had a recent surgery?
Are you pregnant now or have given birth within the last 6 months?
Do you experience any pelvic floor symptoms such as urinary leakage, pelvic pressure, or discomfort during physical activity?
Do you currently have any injuries, pain, discomfort, or physical limitations that might affect exercise? (Include chronic pain conditions, joint issues, or movement restrictions)
Do you know of any other reason why you should not do physical activity?