Below is a PAR-Q questionnaire. The Par-Q (Physical Activity Readiness Questionnaire) is required to be completed by each participant before using any wellness or exercise areas (or the equipment within) or receiving a treatment at 78 St James’s Street (the Facilities).
The Par-Q is designed to help you help yourself. Many health benefits are associated with regular exercise.
For most people, physical activity should not pose any problems or hazards. PAR-Q has been designed to identify the small number of adults for whom physical activity might be inappropriate or those who should have medical advice concerning the type of activity most suitable for them.
Common sense is your best guide in answering these few questions in the next section. If your answer is ‘Yes’ to any of the questions in the PAR-Q, you are advised to seek medical advice/approval before taking part in any form of exercise or using the Facilities. If your health changes, such that you answer ‘Yes’ to any of the questions, please refrain from exercising until you have spoken with your doctor or relevant health professional and had your exercise programme signed off in light of any medical condition.
It is important that you listen to your own body, exercise at your own pace and chose lower impact exercises if you find higher impact exercises too challenging. It is vital that you stay hydrated and take rest whenever you need it. Do not use any of the Facilities or undertake any exercise if you feel unsafe or unwell. Cease exercise and seek medical advice.
All users of the Facilities at 78 St James’s Street must complete this form and attend an induction prior to using the Facilities. By completing Sections 1 and 2 of the form below, you are acknowledging you are answering ‘No’ to all of the below questions. Do not use the Facilities if you answer ‘Yes’ to any of the below questions unless your exercise programme has been signed off by a professional and relevant medical expert.
1. Has your doctor ever said you have heart trouble?
2. Do you frequently have pains in your heart and chest?
3. Do you often feel faint or have spells of severe dizziness?
4. Has a doctor ever said your blood pressure was too high?
5. Has your doctor ever told you that you have a bone or joint problem(s), such as arthritis that has been aggravated by exercise, or might be made worse with exercise?
6. Is there a good physical reason, not mentioned here, why you should not follow an activity program even if you wanted to?
7. Are you or have you been pregnant in the last 6 months?
8. Do you suffer from any problems of the lower back, i.e., chronic pain, or numbness?
9. Are you currently taking any medications?
10.Do you currently have a disability or a communicable disease?
Liability Waiver
I am registering to use the Facilities at 78 St James’s Street, being the exercise, wellness and treatment areas and any associated equipment or activity.
If you have a medical concern/problem or health-related question, please consult with your GP before participating. Consult your GP/physician before using the Facilities or beginning any other exercise program.
The instructions and advice presented are in no way intended to be substitute for medical counselling/advice. Not all exercises are suitable for everyone and this or any other exercise program may result in injury.
Any user of the wellness and exercise areas assumes the risk of injury resulting from using the Facilities. The creators, producers, participants, instructors and distributors of any programme or the Landlord and its representatives or agents disclaim any liability or loss in connection with the use of the Facilities, any exercises or any advice contained herein.
I hereby state that I wish to participate in using the Facilities. I realise that my/our participation in these activities or using the Facilities involves potential risk of injury, including but not limited to bodily injury, heart attack, stroke, or even death. I also recognise there are other risks associated with exercise and that it is not possible to list everyone. I know and understand the risks of exercise, understand that injuries are a possibility, and I hereby assume all risks of injury which could occur by reason of my/our use of the Facilities. I hereby state that I am in good health and are able to take part in this activity. I take full responsibility for my/our own health and wellbeing and agree that any instructions received will be used at my/our own risk.
I have attended an induction at the Facilities and understand how to use the equipment safely. I will not use any equipment which I do not fully understand how to use and/or which I feel unsafe using.
I have disclosed above any relevant medical information and understand that I/We are participating at my/our own risk.