PAR Q

Hello!

I promise I wont take up too much of your time, I just need a few more details from you for your own safety.

In order to become a member and/or participate in The Pre and Postnatal Health and Body Plan’s / Yoga Cultures Personal Training, group exercise sessions, memberships or retreats you must agree and voluntarily accept the Client Trainer Agreement and Privacy Policy. Please click on the links below to read the documents.

CLIENT TRAINER AGREEMENT

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number

Email Address

Date of birth

Please enter in MM DD YYYY format

YYYY

Emergency contact number

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

Do you feel pain in your chest when you do physical activity?

In the past month, have you had chest pain when you have not been doing physical activity?

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

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

Is your doctor currently prescribing medication for your blood pressure or a heart condition?

Do you know of any other reason why you should not take part in physical activity?

If yes, please comment:

Having answered YES to one of the questions above, I have sought medical advice and my GP has agreed that I may exercise.

If you do not confirm please contact us at hello@phbp.co.uk before following any dietary / exercise advice.

Have you ever been pregnant?

If Yes, please give details of any complications during pregnancy or after, type of delivery, any other important information. Small details can make a big difference to your diet and exercise capabilities so please include any concerns, no matter how small.

If pregnant, when is your baby due?

If you have recently given birth please confirm that you have had your 6-10 week post natal Midwife/ GP medical check up and they have agreed you are able to take part in physical activity

Please confirm that you have read, understood and accurately completed this questionnaire. That you are voluntarily engaging in an acceptable level of exercise, and you understand that your participation involves risk of injury.

Please confirm that you have read, understood and agree to voluntarily accept the Client Trainer Agreement and Privacy Policy.

These Links can be found at the top of this page.

PRE NATAL MEMBERS - IMPORTANT INFORMATION

If any of your answers from your PARQ change throughout your pregnancy you must contact us and let us know. You must have confirmation from your doctor that it is safe for you to exercise throughout your full pregnancy and should any minor details change with this we must be notified immediately.