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Please fill in this Physical Activity Readiness Questionnaire (PAR Q) & Informed Consent before you book.

If you are between the ages of 15 and 69, the PAR-Q will tell you if you should check with your doctor before you significantly change you physical activity patterns. If you are over 69 years of age and are not used to being very active, check with your doctor. Please read each question carefully and answer honestly by indicating YES or NO.

Has your doctor ever said 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?
In the past month, have you had a chest pain when you were not doing physical activity?
Do you lose balance because of dizziness or do you ever lose consciousness?
Do you have a bone or joint problem (for example back, knee or hip) that could be made worse by a change in your physical activity?
Is your doctor currently prescribing medication for your blood pressure or heart condition?
Do you know of any other reason why you should not take part in physical activity?

If you answered YES to one or more of the above questions:

You should consult with your doctor to clarify that it is safe for you to become physically active at this current time and in your current state of health.

If you answered no to ALL the above questions:

It is reasonably safe for you to participate in physical activity, gradually building up from your current ability level.
A fitness appraisal can help determine your ability levels.

Program Objectives

Personal Training: I understand that my physical fitness program is individually tailored to meet the goals and objectives agreed upon by my personal trainer and me.

Group Training Classes: I understand that the physical fitness program is designed to accommodate multiple individuals with varying goals and fitness levels.

Description of Potential Risks

It is my understanding and I have been informed that there exists the remote possibility during exercise of adverse changes including, but not limited to, abnormal blood pressure, fainting, dizziness, disorders of heart rhythm, and in very rare instances heart attack, stroke, or even death. I further understand and I have been informed that there exists the risk of bodily injury including, but not limited to, injuries to the muscles, ligaments, tendons, and joints of the body. Every effort, I have been told, will be made to minimise these occurrences by PT supervision during exercise and by my own careful control of exercise efforts. I fully understand the risks associated with exercise, including the risk of bodily injury, heart attack, stroke or even death, but knowing these risks, it is my desire to participate as herein indicated.

Description of Potential Benefits

I understand that a regular exercise program has been shown to have definite benefits to general health and well-being. I know that some of the benefits can include loss of weight, reduction of body fat, improvement of blood lipids, lowering of blood pressure, improvement of cardiovascular function, reduction in the risk of heart disease, improved strength and muscular endurance, improved posture, and improved flexibility. We recommend clients continue weighing themselves up to 6-8 weeks after bootcamps/sessions have ended to fully realise the benefits they have reaped from the sessions.

Participant Responsibilities

I understand that it is my responsibility to:


  1. Fully disclose any health issues or medications that are relevant to participation in a strenuous exercise program;

  2. Cease exercise and report promptly any unusual feelings (e.g., chest discomfort, nausea, difficulty breathing, apparent injury) during the exercise program

  3. Clear my participation with my doctor

  4. Give at least 6 hours notice of any desired change in timing of personal training session and know that sessions can be delayed but are non-refundable. If RamadanFIIT sessions are missed, they cannot be made up or be refunded.

Participant Acknowledgements

In agreeing to this exercise program:

  • I acknowledge that my participation is completely voluntary

  • I understand the potential physical risks involved in the exercise program and believe that the potential benefits outweigh those risks.

  • I give consent to certain physical touching that may be necessary to ensure proper technique and body alignment.

  • I understand that the achievement of health or fitness goals cannot be guaranteed.

  • I have had a voice in planning and approving the activities selected for my exercise program.

  • I have been able to ask questions regarding any concerns I might have, and have had those questions answered to my satisfaction.

  • I am in good physical condition, have no impairment which might prevent my participation in such activities, and have been advised to consult with a physician prior to beginning this program.

  • I have been advised to cease activity immediately if I experience unusual discomfort and feel the need to stop.

  • I understand that results may vary between clients. This is due to many factors which include but are not limited to; my activity and eating outside of sessions, age, fitness levels, medical conditions, vitamin deficiencies and others.

I have read, understood and accurately completed this questionnaire. I confirm I am voluntarily engaging in an acceptable level of exercise and my participation involved a risk of injury. Having answered YES to one/any of the questions above, I have sought medical advice and my GP has agreed that I may exercise.

Your Signature

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