PAR-Q for Siaron's Classes

Physical Activity Readiness Questionnaire (PAR-Q)
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
If you're answer is "NO" to all of the questions above, then you are safe to participate in physical activities.

If you answer "YES" to one or more questions, then you need to consult your doctor to clarify if it is safe for you to do physical activities in your current state.
Personal Information
Name*

First NameLast Name
Date of Birth

DayMonthYear
Date
Mobile phone number*
Please enter a valid phone number.Format: (+44) 00000 000000.
Email*
example@example.com
Address

Street Address

Street Address Line 2

CityCounty

Postcode
Emergency Contact Person*

First NameLast Name
Emergency Contact phone number*
Please enter a valid phone number.Format: (+44) 00000 000000.
What are your fitness goals?
Should be Empty:

Physical Activity Readiness Questionnaire (PAR-Q)