Client Resources – PAR-Q

Client Resources - PAR-Q

Welcome To VALOR Fitness

Congratulations on your decision to improve your physical and mental health by participating in a personal training session or personal training package.

With the help of your personal trainer, you will greatly improve your ability to achieve your training goals with a higher level of efficiency, safety, and enjoyment. The aim of these training session from the coach’s perspective is to pass on knowledge that will last you a lifetime, encouraging and enabling you to live a happy and healthy lifestyle.

To maximise your progress, it may be necessary for you to follow program guidelines during supervised and, if applicable, unsupervised training days. It is important to remember that exercise, adequate rest and healthy eating are EQUALLY as important!

It is recommended that all participants work with their trainer 3 time per week. However due to scheduling, financial and home life considerations, a combination of supervised and unsupervised activity or workout is possible.

By completing this PAR-Q, you accept the Terms & Conditions.

Full Name *

Date of Birth (DD/MM/YYYY) *

Address *

Contact Number *

Emergency Contact - Name *

Emergency Contact - Number *

Has your doctor ever said that you have a heart condition and that you should only do a physical activity recommended by your doctor? * Has your doctor ever said that you have a heart condition and that you should only do a physical activity recommended by your doctor? * Yes No

If you answered 'yes' to the question above, please provide further details *

Do you lose balance through dizziness or do you ever lose consciousness? * Do you lose balance through dizziness or do you ever lose consciousness? * Yes No

If you answered 'yes' to the question above, please provide further details *

Do you have a bone or joint problem that could be made worse through physical activity? * Do you have a bone or joint problem that could be made worse through physical activity? * Yes No

If you answered 'yes' to the question above, please provide further details *

Is your doctor currently prescribing medication for blood pressure or a heart condition? * Is your doctor currently prescribing medication for blood pressure or a heart condition? * Yes No

If you answered 'yes' to the question above, please provide further details *

Do you know of any other reason why you should not take part in physical activity? * Do you know of any other reason why you should not take part in physical activity? * Yes No

Do any of the following conditions apply to you? Do any of the following conditions apply to you? Diabetes Asthma or COPD Burning sensation in legs when walking short distances Musculoskeletal problems which limit exercise Prescribed drugs currently being taken Pregnant Other

If you answered 'other' to the question above, please provide further details *

Do you currently participate in a form of exercise? * Do you currently participate in a form of exercise? * Yes No

How Often do you participate in exercise? *

If you do not currently exercise, when was the last time you participated in regular exercise?

How often did you participate in regular exercise and what type of exercise was it? *

What types of exercise do you currently participate in? *

How long do you normally exercise for during each session? *

What types of exercise do you enjoy doing?

How would you describe the intensity of your exercise? * How would you describe the intensity of your exercise? * Low Moderate Vidorous N/A (Does not apply to me)

Can you walk briskly for 30 minutes without fatigue? * Can you walk briskly for 30 minutes without fatigue? * Yes No

Can you jog for 20 minutes without fatigue? * Can you jog for 20 minutes without fatigue? * Yes No

Do you accept the Terms and conditions? Do you accept the Terms and conditions? By completing and submitting this PAR-Q, I agree to the terms and conditions.

Full Name *

Today's Date (DD/MM/YYYY) *