Vivacity UK

Health Form

Before your first session

To keep you safe and tailor your training, please complete this short health questionnaire before your first class or personal training session. Your answers are sent straight to Kelly and treated in confidence.

Physical Activity Readiness (PAR-Q)

1. Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?

2. Do you feel pain in your chest when you do physical activity?

3. In the past month, have you had chest pain when you were not doing physical activity?

4. Do you lose your balance because of dizziness, or do you ever lose consciousness?

5. Do you have a bone or joint problem that could be made worse by a change in your physical activity?

6. Is your doctor currently prescribing drugs (for example, water pills) for a blood pressure or heart condition?

7. Do you know of any other reason why you should not do physical activity?

How your data is handled: the details you submit are sent securely by email to Kelly at Vivacity UK and held in her email inbox only — they are not stored in any database or shared with third parties. Your information is kept only for as long as you train with Vivacity UK and is used solely to assess your readiness to exercise and to keep you safe. You can ask to see or delete your information at any time by emailing kelly@vivacityuk.co.uk.

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