Physical Activity Readiness Questionnaire

1. Has your GP ever said that you have a heart condition and that you should only do physical activity recommended by a medical practitioner?

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

3. In the past month have you had chest pain when you were NOT doing physical activity?

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

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

6. Is your GP prescribing you medication for a blood pressure or heart condition?

7. Do you know of any reason why you should NOT embark on a physical activity programme?

We are not nor do we claim to be medical professionals We expressly disclaim responsibility to any person or entity for any liability, loss or damage caused or alleged to be caused directly or indirectly as a result of any session(s). Please tick here to accept this*

Ok

If you answered YES to any of the above you MUST talk with your GP before you start becoming more physically active.

If you answered YES to any of the above but you feel it will not affect this session and you are happy to proceed knowing Tonic will not be held responsible, please tick here

Ok

If you answered NO (honestly) to all seven of the above questions then you can be reasonably sure that you can start becoming more physically active right away; building intensity and regularity gradually.

If you’re feeling un-well because of a temporary illness (a cold etc) or you are / become pregnant you may want to either delay starting or consult your GP too.

Once we have the appropriate answers to all of the above questions you are ready to take your next step to becoming more physically active!

Before we create you a full exercise programme we will carry out a fitness appraisal. This will allow us to determine your basic fitness level, discuss your objectives in line with your preferences & importantly create a benchmark that will enable us to measure your improvement! It will also help to ensure we create a programme that is challenging, results driven and achievable!

I have read and completed this screening questionnaire. Any questions I had were answered to my full satisfaction.*

Agree

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PHYSICAL ACTIVITY READINESS QUESTIONNAIRE

The Tonic And Me App