All users must fill out the ParQ form below before training with OxStrongHealth.

Regular physical activity is fun and healthy, and increasingly more people are starting to become more active every day. Being more active is very safe for most people. However, some people should check with their doctor before they start becoming much more physically active.

Before commencing your Personal Training programme, please answer the seven questions in the below. 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 start.

If you are over 69 years of age, and you are not used to being very active, check with your doctor prior to commencing any exercise programme.

Common sense is your best guide when you answer these questions. Please read the questions carefully and answer each one honestly: YES or NO.


If you answered YES to one or more questions:

Talk with your doctor by phone or in person BEFORE you start becoming much more physically active or BEFORE you have a fitness appraisal. Tell your doctor about the PAR-Q and which questions you answered YES. Ox Strong Healthreserves the right to refuse to start or continue a client’s exercise program until a written medical approval has been provided by your doctor or health specialist.

Please note that you may well be able to do any activity you want, as long as you start slowly and build up gradually. Alternatively, you may need to restrict your activities to those which are safe for you. Talk with your doctor about the kinds of activities you wish to participate in and follow his/her advice. Be aware that you should DELAY ANY EXERCISE ACTIVITY,if you are not feeling well because of a temporary illness such as a cold or a fever – wait until you feel better. If you are or may be pregnant – talk to your doctor and Personal Trainer before you continue your exercise programme or start to become more active

If you answered NO to all questions:

You can be reasonably sure that you can: start becoming much more physically active – begin slowly and build up gradually. This is the safest and easiest way to go.

IMPORTANT: If at any time your health status changes so that you would then answer YES to any of the PAR-Q questions or have to take prescribed drugs, it is your responsibility to inform your Personal Trainer/Coach [Ox Strong Health] and ask whether you should change your physical activity plan and/or provide a Medical Clearance Form before continuing to exercise.

“I have read, understood and completed this questionnaire. Any questions I had were answered to my full satisfaction.”

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    Have you had a stroke? (required)
    YesNo

    Do you have any respiratory problems, such as Asthma, COPD, CF? (required)
    YesNo

    Do you, or have you ever been diagnosed with a heart condition? (required)
    YesNo

    Have you ever had a heart attack? (required)
    YesNo

    Do you have any bone, muscular, or join problems that could be worsened by physical activity? (required)
    YesNo

    Are you pregnant or have you had baby in the last 6 months? (required)
    YesNo

    Ever have severe dizzy spells or episodes of fainting? (required)
    YesNo

    Please list any medication that you take, and any further details on a condition that my be affected by physical exercise or that you have responded 'yes' to above.

    Have you been physically active with the last 3 months? (required)
    YesNo

    Have you weight trained previously? (required)
    YesNo

    I understand that this personal training program may include exercises to build the cardio respiratory system (heart and lungs), the musculoskeletal system, (which involves muscular endurance, strength and overall flexibility), and to improve body composition (increasing muscle and bone and decreasing body fat) Exercise includes aerobic activities, such as walking, running, bicycle riding, rowing machine, group aerobics, swimming and other aerobic activities, weight lifting using dumbbells, machines and other equipment to improve muscular strength and endurance, as well as flexibility exercises to improve joint range of motion.

    Description of Potential Risks:

    I understand that the reaction of the heart, lung, blood vessels as well as other systems to exercise cannot always be predicted with accuracy. I know there is a risk of certain abnormal changes occurring during the following exercise, which include abnormalities of blood pressure or heart attacks as well as other side effects. Use of weight lifting equipment, and engaging in heavy body calisthenics may lead to musculoskeletal strains, pain and injury if adequate warm-up, gradual progression, and safety procedures are not consistently followed. I understand that personal trainer (seller) shall not be liable for any damages arising from personal injuries sustained by client (buyer) while and during and/or from a personal training program does so at his/her own risk. Client (buyer) assumes full responsibilities for any injuries or damages which may occur during and/or after training.

    I hereby fully and forever release and discharge personal trainer (seller), its assigns and agents from all claims, demands, damages, rights of action, present and future therein.

    I understand and warrant, release and agree that I am in good physical condition and that I have no disability, impairment or ailment preventing me from engaging in active or passive exercise that will be detrimental to heart, safety, or comfort, or physical condition if I engage or participate (other than those items fully discussed on the health history form).

    I state that I have had a recent physical check up and have my personal physician’s permission to engage in aerobic and/or anaerobic conditioning.

    Description of Potential Benefits:

    I understand that a program of regular exercise for the heart, lungs, muscles and joints has many benefits associated with it. These may include a decrease in body fat, improvement in blood fats and blood pressure, improvement in physiological function and decrease in heart disease.

    I have read the foregoing information and understand it. Any questions, which may have occurred, have been answered to my satisfaction.

    I understand that neither the Instructor or OxStrongHealth can be held responsible for any injuries or ill health of any kind arising from participation within this programme.

    For Under 18s, Parental Informed Consent:
    Informed Consent

    I hereby acknowledge that:

    - The information provided above regarding my child’s health is, to the best of my knowledge, correct.
    - I will inform you immediately if there are any changes to the information provided above.
    - I give permission for my child to commence your physical activity program.
    - Ox Strong Health is not providing a supervised training program for my child.
    - I will not hold Ox Strong Health responsible for any injury, loss or damage suffered by my child.
    - I acknowledge that during physical activity, an accident may occur involving injury or damage.

    In completing this form I indemnify Ox Strong Health and it’s instructors from all legal actions, injury claims, loss, damage, penalties, costs arising from my child’s participation in this physical activity program.

    Acceptance:

    Date: