• Pre-Activity Readiness Questionnaire (PAR-Q) & Consent Form

  • The information contained within this form will help your trainer decide whether you are safe to exercise or not. If there is any doubt regarding your fitness to train you should consult your GP.

    Note: this information will be kept confidentially and only accessed by Trained By Gee Coaches Only.

  • Your Details

  • Date of Birth*
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  • Health Questions

  • Has your Doctor ever said you have a heart condition?*
  • Do you have pains in your chest whilst performing physical activity?*
  • Have you had chest pain while not doing physical activity?*
  • Do you lose your balance due to dizziness or ever lose consciousness?*
  • Do you suffer from high or low blood pressure?*
  • Do you suffer from high cholesterol?*
  • Have you had surgery in the past 5 years? *
  • Is there a history of coronary disease in your immediate family?*
  • Do you have any chronic illnesses or physical limitations such as asthma or diabetes and whether it affects your ability to exercise?*
  • Do you have any injuries, bone/joint or orthopedic problems (such as back, shoulder, knee etc) that affect your ability to exercise?*
  • Do you take any medication (prescription or non-prescription) that affects your ability to exercise?*
  • Do you know of any other factor which may affect your ability to participate in physical activity?*

  • Medical Clearance: If, based on the information provided in this questionnaire, Trained By Gee considers that medical clearance is required before you participate in exercise, you may be asked to obtain written medical clearance from your GP, consultant or another appropriately qualified healthcare professional.

    Where medical clearance is requested, you must provide confirmation that you are medically fit to participate in the proposed exercise or class, and any relevant restrictions, recommendations or modifications provided by your healthcare professional.

    I understand that I must not participate until the required medical clearance has been obtained and provided to Trained By Gee.

  • Lifestyle Questions

  • Describe your job: *
  • Do you smoke?*
  • Do you drink alcohol? *
  • Do you suffer/have suffered from eating disorders?*

  • Participation & Assumption of Risk

  • I confirm that I am voluntarily participating in exercise with Trained By Gee and understand that physical exercise carries inherent risks, including muscle soreness, strains, sprains, falls and other injury.

    I confirm that I have provided accurate and complete information regarding my health, medical conditions and injuries and will inform my trainer/s of any changes to my health or ability to exercise.

    I understand that I am responsible for informing my trainer/s if I experience pain, dizziness, illness or any other symptoms during exercise and that I may stop exercising at any time.

    I understand that my trainer will provide instruction and guidance, but I am responsible for following instructions and using equipment appropriately.

    I confirm that I have been given the opportunity to ask questions before participating and consent to taking part in physical activity.

  • Consent

  • Health: By attending, you confirm that you are fit to take part in physical exercise and will inform us of any injuries, medical conditions or changes to your health before each session.

    Participation: You take part at your own risk and agree to exercise within your own capabilities, following any instructions given during the session.

    Photography & Videos: Photos and videos may be taken during sessions for promotional purposes. If you would prefer not to appear in any content, please let your trainer know before the session and we'll ensure you're not included.

  • Emergency Contact

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