Health Questionnaire / PARQ

Hello! Thank you for booking one of our classes! We can't wait to meet you.

Before you attend any sessions with us please complete our Health Questionnaire, it won't take long - we promise!

If you have any technical difficulties drop us an email at hello@thestudiobartlow.co.uk and we'll get back to you as soon as we can!

Health Questionnaire

Please fill out the following form
in order to participate in any our sessions.

First & Last Name

Date of Birth

Please answer the following questions, adding detail where necessary. By submitting the form below, you declare that the following information provided in your answers is accurate and complete. If you have answered yes to any of these questions, it is recommended that you consult a physician before participating in any class/session.

Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?

Do you feel pain in your chest when you do physical activity or when you are not doing a physical activity?

Do you lose your balance because of dizziness or do you ever lose consciousness?

Do you have a bone or joint problem that could be made worse by a change in your physical activity?

Are you currently taking any medication? (For example blood pressure or heart condition medication)

Do you know of any other reason why you should not do physical activity?

I agree that the information I have submitted is accurate and complete. I also agree to the terms & conditions.View terms & conditions

Thanks for submitting!

Health Questionnaire / PARQ

Health Questionnaire

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