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Woman Running


Please complete the questions below by answering yes or no. There is a notes section at the bottom of the page to provide details if you have answered yes to any questions. 

If you are between the ages of 15 and 69 and have answered yes to any of the questions and or are over 69 years of age and are not used to being very active please check with your doctor prior to participating. If you are in any doubt as to your physical readiness for exercise please consult your doctor.

1. Has your doctor ever told you that you have a heart condition, or have you ever suffered a stroke? i.e. high/low blood pressure; pacemaker
2. Do you ever experience unexplained pains in your chest at rest or during physical activity / exercise?
3.Do you ever feel faint or have spells of dizziness during physical activity / exercise that causes you to lose balance?
4. Have you had an asthma attack requiring immediate medical attention at any time over the last 12 months?
5. If you have diabetes (type I or Type II) have you had trouble controlling your blood glucose in the last three months?
6. Do you have any diagnosed muscle, bone, or joint problems that you’ve been told could be made worse by participating in physical activity / exercise?
7. Are you or have you recently been pregnant?
8. Are you currently taking in medication?
9. COVID-19 screening - please tick the box (s) below that apply to you
10. Do you have any other medical condition(s) that may make it dangerous for you to participate in physical activity / exercise?

Thanks for submitting!

Physical Activity Readiness Questionnaire: Support


Please click read button below to access privacy policy

Physical Activity Readiness Questionnaire: Accessibility Policy
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