Junior Gym Physical Activity Readiness Questionnaire (PAR-Q)

Medical History

Please state if you have previously or are currently suffering from any of the following:
Do you have or have you ever had back problems?
Do you have or have you ever had joint problems?
Have you had any surgical procedures in the last three years?
Are you taking any medication?


I declare that to the best of my knowledge the information given is correct.


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