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Newbury CrossFit and Performance Ltd - Pre exercise questionnaire.

Regular physical activity is fun and healthy, and increasingly more people are starting to become more active everyday. 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 answering the questions in the questions tab. If you are between the ages of 15-69, 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, give explanation if yes to any questions.

If you answered YES to one or more questions:
* Talk with your Doctor by phone or in person BEFORE you start becoming much more physically active or BEFORE you have a fitness appraisal. Tell your Doctor about the PAR-Q and which questions you answered YES.
* You may be able to do any activity you want - as long as you start slowly and build up gradually. Or you may need to restrict your activities to those that are safe for you. Talk with your Doctor about the kinds of activities you wish to participate in and follow his/her advice.

If you answered NO honestly to all PAR-Q questions, you can be reasonably sure that you can:
* Start becoming more physically active - begin slowly and build up gradually. This is the safest and easiest way to go.
* Take part in a fitness appraisal - this is an excellent way to determine your basic fitness so that you can plan the best way for you to live actively. It is also highly recommended that you have your blood pressure evaluated. If your reading is over 144/94 talk with your Doctor before you start becoming much more physically active.

Delay becoming much more active:
* If you are not feeling well because of a temporary illness such as a cold or a fever - wait until you feel better; or
* If you are or may be pregnant - talk to your Doctor before you start becoming more active.

Please note : Physical clearance is valid for 12 months from date it is completed and becomes invalid if your condition changes so that you would answe YES to any of the questions. Please tell your fitness or health professional if you have any changes in health. Ask wether you should change your physical activity plan.

Do You Have Any Medical Conditions?

Yes

Have you ever been told that you have a heart condition?

Yes

Have you ever had a stroke?

Yes

Do you ever have unexplained pains in your chest at rest or during physical exercise?

Yes

Do you consistently feel faint or suffer from spells of dizziness?

Yes

Do you suffer from asthma and require medication?

Yes

Do you suffer from type I or II diabetes?

Yes

Do you suffer from any major muscle or joint conditions that may limit you or be aggravated by physical activity?

Yes

Do you suffer from any medical conditions that may be made worse by participating in physical activity?

Yes

Do you suffer from high blood pressure over 140/90 or low blood pressure below 100/80?

Yes

We like to take pictures during classes for social media and marketing. Do you need to be exempt from these?

Yes

Disclaimer: If you have answered no to all of the above questions and you are confident that you have no other concerns with your health then you may proceed to participate in physical activity. If you have answered yes to any of the questions above or are unsure, please seek a referral from your GP or allied health professional before commencing physical activity. I believe to the best of my knowledge that all of the information I have provided on this tool is accurate. In the case that my medical condition changes over the course of my training I will inform my trainer and fill out a new exercise pre- screening questionnaire.