Adult PARQ Form

Before getting started with your training, we need to understand a bit about your current health.
This short questionnaire helps us ensure that physical activity is safe for you.
Please answer each question honestly and to the best of your knowledge.
It only takes a few minutes and your responses will be kept strictly confidential.

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

2. Do you ever experience chest pain during physical activity?
YesNo

3. Have you experienced chest pain when not exercising in the past month?
YesNo

4. Do you lose your balance because of dizziness, or have you ever lost consciousness?
YesNo

5. Do you have any bone or joint problems that could be made worse by exercise?
YesNo

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

Important: If you have ticked any of the "yes" boxes above you must have your doctor's written consent before undertaking any exercise class/session provided by NDA Fitness.

7. Are you pregnant or have you been in the last 6 months?
YesNo

8. Do you know of any other reason why you should not participate in physical activity?
YesNo

Do you want to change any of your answers?
YesNo

Thank you for completing the PAR-Q form

Great news - you answered "No" to all the questions.

Please fill in your personal details below so we can safely record your PAR-Q submission.

Your form will be sent securely via email to NDA Fitness - you won’t need to download anything.

* Your Name

* Your Email

* Date Of Birth

* Contact Number

* Full Address

Additional Information

0 / 240.

* Required field

Consent & Confirmation

Medical Clearance

I confirm that I have read, understood, and accurately completed this questionnaire. I am voluntarily engaging in an appropriate level of physical activity and understand that participation carries a risk of injury. I will notify NDA Fitness if any of the information I’ve provided changes.

Participation Declaration

I declare that I have answered this questionnaire truthfully and to the best of my knowledge. I understand the risks associated with physical activity.

GDPR Agreement

I consent to NDA Fitness collecting and using my information solely for the purpose of assessing my readiness to participate in physical activity and ensuring my safety during training.

I understand that this information includes health data and will be stored securely.

My information will be retained for up to 10 years from the date of submission, or until I request its deletion, whichever occurs first.

Read our Privacy Policy

Your form data is sent securely via email and is not stored on this website.

Please leave this field empty.

You answered “Yes” to one or more questions

To ensure your safety, you must obtain written consent from your doctor before taking part in any exercise sessions provided by NDA Fitness.

If you have any questions, need assistance or would like us to contact you, please click here to get in touch.

We do not track or store any of the above information. When you leave this page it's gone forever.