Health Waiver & PAR-Q

It helps Abbie teach you safely, offer alternatives where you need them, and know who to contact in an emergency. Answering yes to something does not stop you taking part — it simply means Abbie can look after you properly.

1. Has your doctor ever said that you have a heart condition and that you should only perform physical activity recommended by a doctor?
2. Do you feel pain in your chest when performing physical activity?
3. Have you experienced chest pain when NOT performing physical activity in the last month?
4. Do you lose your balance because of dizziness, or have you lost consciousness recently?
5. Do you have any bone or joint problems, such as arthritis, which could be aggravated through physical activity?
6. Is your doctor currently prescribing you medication for high blood pressure or a heart condition?
7. Has your doctor ever told you NOT to exercise?
8. Is there any other reason why you should NOT participate in physical activity?
9. Are you currently pregnant, or have you given birth in the last 12 months?
10. Are you carrying any injury, pain or recent surgery?
11. Do you have any medical condition Abbie should know about (including mental health)?

I have read, understood and accurately completed this questionnaire. I confirm that I am voluntarily taking part in an acceptable level of exercise, and I understand that participation involves a risk of injury. Where I have answered yes to any health question, I confirm I have sought medical advice and that my GP is happy for me to exercise, or I accept responsibility for practising within my own limits. I will inform Abbie Davies Movement immediately if my health changes. I understand this clearance should be reviewed at least every 12 months.

Answers are stored securely and seen only by Abbie. They are kept on file so you don't repeat the form before every class, and should be reviewed at least every 12 months. You can ask for them to be updated or deleted at any time by emailing abbiedaviesmovement@outlook.com.

Please mention it on the form and message Abbie before your first class so she can plan suitable options for you. If you are unsure whether exercise is right for you at the moment, check with your GP first.