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Physical Activity Readiness Questionnaire
To become a member, please tell me a few things about yourself:
*
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Name
*
First
Last
Email
*
Please check the boxes below if any of these apply to you:
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Has your doctor ever said that you have a heart condition and have been told to only do physical activity recommended by a doctor
Have you ever felt pain in your chest when you do physical exercise?
In the past month, have you had chest pain when you were not doing physical activity?
Do you often feel faint, have spells of dizziness, or have lost consciousness?
Have you ever suffered from unusual shortness of breath at rest or with mild exertion?
Has the doctor ever said that you have a bone or joint problem, such as arthritis, that may be made worse by exercise?
Do you have either high or low blood pressure? Please tell me more in the box below...
Are you currently on any prescribed medicines that may affect your ability to exercise?
Are you pregnant, or have you had a baby in the last 6 months?
Do you know of anything else that might affect your ability to participate in physical exercise?
Please check any of the boxes that apply to you.
If you checked any of the boxes, please tell me more...
*
If none of the above apply, please select this option
*
This is me! None of the above apply.
If you have not exercised regularly before, it is wise to consult your doctor before beginning a new exercise program.
I understand that there is a risk of injury associated with physical exercise, and by clicking submit, I hereby assume full responsibility for any and all injuries, losses or damages incurred while completing any training session associated with PaddleFit Membership.
Submit
Home
PaddleFit Membership
PaddleFit Members Log In
PaddleFit Members Home
>
PaddleFit Workout of the Week
How to use the Workout of the Week
PaddleFit Resources
PaddleFit FAQ's
Blog
Contact
Keep in Touch!