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PAR Q Form
Have you been hospitalised in the last 12 months
Have you or do you currently experience a shortness of breath or heart conditions that affect physical activity.
Have you experience any dizziness or loss of consciousness when you do physical activity in the last 12 months
Have you any diagnosed illness that could bemade worse by physical activity.
Are you taking any medication perscribed or otherwise
Do you have any diagnosed illness that could be made worse by physical activity
Are you suffering from any medical condition, illness or injury
In the last 6 months have you been pregnant

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