If you are an ante/post natal client, please complete the PARmed-X for pregnancy form. This must be completed and sent to sandy@aspyrfitness.com before any exercise is undertaken.

If you are not a ante/post natal client, please complete the below PAR-Q (Physical Activity Readiness Questionnaire), which must be completed before any exercise is undertaken.

Client Name *
Client Name
Date of Birth *
Date of Birth
Do you have any allergies e.g. rubber
Has your doctor ever said that you have a bone or joint problem, such as arthritis, or any medical condition, surgical operation or injury that has been aggravated by exercise or might be made worse with exercise? *
Do you have high blood pressure? *
Do you have low blood pressure? *
Do you have Diabetes Mellitus or any other metabolic disease? *
Has your doctor ever said you have a raised cholesterol (serum level above 6.2mmol/L)? *
Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor? *
Have you ever felt pain in your chest when you do physical exercise or at rest? *
Is your doctor currently prescribing you drugs or medication? *
Have you ever suffered from unusual shortness of breath at rest or with mild exertion? *
Is there any history of coronary heart disease in your family? *
Do you often feel faint, have spells of severe dizziness or have your ever lost consciousness? *
Do you currently drink more than the average amount of alcohol per week (14 units)? *
Do you suffer from regular head aches, dizziness, fainting or fits? *
Do you exercise on a regular basis (at least 3 times a week) and/or work in a job that is physically demanding? *
Are you, or is there any possibility that you might be pregnant? *
Do you know of any other reason why you should not participate in a programme of physical activity? *
Is there any further information you feel the instructor should be aware of? *
If you answered YES to one or more questions: You should consult with your doctor to clarify that it is safe for you to become physically active at this current time and in your current state of health.  If you answered NO to one or more questions: It is reasonably safe for you to participate in physical activity, gradually building up from your current ability level. A fitness appraisal can help determine your ability levels. I have read, understood and accurately completed this questionnaire. I confirm that I am voluntarily engaging in an acceptable level of exercise, and my participation involves a risk of injury. Having answered YES to one of the questions above, I have sought medical advice and my GP has agreed that I may exercise.
Today's Date *
Today's Date
Insert the date of agreement

Note: This PAR Q becomes invalid if your condition changes so that you would answer YES to any of the 7 questions.