PAR-Q (Physical Activity Readiness Questionnaire)

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What is Your Goal?* This field is required.
Fat Loss / Weight Reduction
Muscle Building / Toning
Improve Overall Fitness
Strength Training
Cardio Endurance
Boxing Fitness
Anti-Bullying & Discipline (kids-focused)
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Full Name* This field is required.
First Name
Last Name
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Male or Female* This field is required.
Male
Female
If Female, Are you willing to be trained a male trainer? (Family/Friend must be present)
No, Female Trainer Only (Depends on Availability) (Contact us First)
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Age?18 years and over | Under 18 must be accompanied by an adult
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Has your doctor ever said you have a heart condition or should only do medically supervised activity?
YESNO
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Do you feel pain in your chest when you do physical activity?
YESNO
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In the past month, have you had chest pain when not doing physical activity?
YESNO
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Do you lose balance because of dizziness or ever lose consciousness?
YESNO
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Do you have any joint problems that could worsen with exercise (e.g., knee, hip, shoulder)?
YESNO
10
Are you currently taking any prescribed medication for a chronic condition?
YESNO
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Do you know of any other reason why you should not do physical activity?
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🚫 Medical Safety Notice – Read Before Proceeding

At Imran PT, your safety is my top priority.

If you have any medical conditions, ongoing injuries, recent surgeries, or have been advised by a doctor not to exercise, do not proceed with training.

I do not accept or agree to train any individual who is not physically cleared by a medical professional to engage in personal fitness or exercise activities.

By continuing, you confirm that:

You are medically fit to exercise.

You take full responsibility for your health and participation.

You release Imran PT from any liability related to non-disclosed health issues.

⚠️ If you're unsure about your health or physical readiness, please consult your doctor before signing up.

I confirm that I am physically fit to participate in exercise and have no medical conditions that prevent me from safely engaging in personal training. I understand I am participating at my own risk and release Imran PT from any liability.

I understand that participating in physical exercise, including boxing, personal training, and fitness programs, involves risk of injury. I agree to disclose any health issues to my trainers and Imran, Imranpt.com fitness services and consult with a physician if necessary.

I hereby release Imran PT, its employees, and affiliates from any liability, claims, or demands arising out of personal injury or damages incurred during participation. I participate voluntarily and at my own risk.
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📋 Terms of Service & Client Responsibility

Imran PT – Dubai | Sharjah | Ajman

By booking or participating in any personal training session with Imran PT, you agree to the following terms, which protect both client and trainer and ensure a safe, professional training experience:

⏰ Bookings, Cancellations & Late Arrivals

All sessions must be pre-booked and prepaid.

A minimum of 24 hours’ notice is required to cancel or reschedule any session.

Missed sessions, no-shows, or late cancellations will be fully charged and are non-refundable.

2x Sessions per week must be completed on pre-booked time.

All packages are valid for 30 days from date of first session.

Sessions must be completed within the agreed duration; unused sessions will not be refunded or carried over.

Schedules are agreed mutually and may vary based on trainer availability.

If you arrive late, the session will still end at the scheduled time. Additional time will not be added or carried forward.

Repeated late arrivals or missed sessions may result in a suspension of training privileges.

🛡️ Health, Safety & Eligibility

You confirm you are fit to exercise and have no medical conditions that could be aggravated by physical activity, or you have received clearance from a medical professional.

Imran PT reserves the right to refuse training to any individual who appears medically unfit or has not completed the required Waiver & PARQ form.

All training is undertaken at your own risk. Imran PT is not liable for injuries or complications arising from undisclosed medical conditions or failure to follow instructions.

💳 Package Terms & Commitments

Packages or subscriptions must be used within the validity period communicated at purchase.

Sessions are non-transferable and non-refundable once booked.
These terms are binding upon booking and may be updated without prior notice.

📝 By submitting your form or making a booking, you confirm you understand and accept these terms in full.

For questions, Whatsapp 0585035262 or email info@imranpt.com.
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I have read and agree to the waiver above.* This field is required.
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