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SM Fitness Medical Par-Q

Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?
Yes
No
Do you feel pain in your chest when you do physical activity?
Yes
No
In the past month, have you had chest pain when you were not doing physical activity?
Yes
No
Do you lose your balance because of dizziness or do you ever lose consciousness?
Yes
No
Do you have a bone or joint problem that could be made worse by a change in your physical activity?
Yes
No
Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition?
Yes
No
Do you currently receive medical care for or do you currently experience any Back/Spinal Pain?
Yes
No
Do you currently receive medical care for or do you currently experience any Headaches or Migraines?
Yes
No
Have you recently had Surgery?
Yes
No
Do you have Diabetes Type 1 or Type 2?
Yes
No
Do you currently receive medical care for or do you currently experience any Asthma or Breathing Problems?
Yes
No
Are you currently Pregnant?
Yes
No
Have you had a child in the last 2yrs?
Yes
No

If you answered yes to above please fill out the Postnatal Health Form - https://forms.wix.com/r/6972206352810639940

Do you know of any other reason why you should not do physical activity?
Yes
No
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