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Foliage Fitness LLC PAR-Q

Regular physical activity is fun and healthy, and increasingly more people are starting to become more active every day. Being more active is very safe for most people. However, some people should check with their doctor before they start becoming much more physically active.
If you are planning to become much more physically active than you are now, start by answering the seven questions in the box below. If you are between the ages of 15 and 69, the PAR-Q will tell you if you should check with your doctor before you start. If you are over 69 years of age, and you are not used to being very active, check with your doctor.|
Common sense is your best guide when you answer these questions. Please read the questions carefully and answer each one honestly: check YES or NO

What's your first and last name?

What's your email address?

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

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

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

Do you feel pain in your chest when you do physical activity?
A
B

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

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

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

Do you lose your balance because of dizziness or do you ever lose consciousness?
A
B

Do you have a bone or joint problem (for example, back, knee, or hip) that could be made worse by a change in your physical activity?

Do you have a bone or joint problem (for example, back, knee, or hip) that could be made worse by a change in your physical activity?
A
B

Is your doctor currently prescribing medication for your blood pressure or heart condition?

Is your doctor currently prescribing medication for your blood pressure or heart condition?
A
B

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

Do you know of any other reason why you should not do physical activity?
A
B
If you answered yes to any of the questions above, please email me at [email protected] before proceeding. If you answered no to all of the questions above, you'll see an additional question below to answer before submitting.

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