Physical Activity Readiness Questionnaire (PAR-Q)

Name*

Age*

Date of Birth*

Date

Address*

Town*

Postcode*

Your Mobile Number*

Email*

example@example.com

Emergency Contact*

Their Mobile Number*

NoYes

Medical Conditions Detail

NoYes

Medications Detail

NoYes

Allergies Detail

NoYes

Hospitalisation or Surgery Detail

NoYes

Chronic pain or musculoskeletal injuries Detail

Further Details

NoYes

If yes, what type of exercises are you doing, and how often?

NoYes

If yes, what did you enjoy or not enjoy about the experience?

3. What are your main fitness goals? (e.g., weight loss, strength, endurance, injury recovery, etc.)

NoYes

If yes, please list them.

1. How would you describe your general activity level

2. How many hours of sleep do you get on average per night

3. Do you follow any specific diet or nutrition plan? If yes, please describe it.

4. Are you currently pregnant or trying to conceive

5. Do you have any specific mobility flexibility or balance challenges

6. Are there any other health concerns conditions or limitations you believe we should be aware of before we begin training

I confirm that I have been shown how to use the gym equipment safely and am happy to train unsupervised. I have read, understood, and accurately completed this questionnaire. I understand that I am voluntarily engaging in exercise and accept full responsibility for any risks, including the risk of injury.

If you are currently experiencing, have previously suffered from, or in future develop any health condition—including pregnancy—or are taking medication, it is your obligation to obtain written medical clearance from your doctor confirming that it is safe for you to exercise.

You must inform Danny Livings Personal Training immediately of any changes to your health or medical condition and provide the relevant medical release documentation.

By signing below, I confirm that all information provided is accurate and complete to the best of my knowledge, and I accept full responsibility for my participation in training sessions with Danny Livings Personal Training.

1. Do you consent to the collection of this information for the purpose of creating a personalised fitness plan?

2. Do you understand the risks involved with physical activity, including but not limited to injury or adverse reactions, and consent to participate in a fitness program?

3. Have you consulted a healthcare professional regarding your readiness to engage in physical exercise

NoYes

Signature

Date

Physical Activity Readiness Questionnaire (PAR-Q)

Medical Questionnaire

Fitness History

Client Declaration