PAR-Q
This PAR-Q is for reference only. Please complete the full PAR-Q on the booking form.
SOLA Studios — PAR-Q & Health Questionnaire
Name:
Date of Birth:
Phone Number:
Email:
Emergency Contact Name & Number:
General Health
- Has a doctor ever told you that you have a heart condition?
- Do you ever experience chest pain during physical activity?
- Have you experienced chest pain in the last month when not exercising?
- Do you ever feel faint, dizzy, or lose balance?
- Do you have high or low blood pressure?
- Are you currently taking any medication that affects your heart rate or blood pressure?
Muscles, Joints & Injuries
- Do you have any bone, joint, or muscle problems that could be made worse by exercise?
- Do you suffer from back pain or spinal issues?
- Have you had any recent injuries or surgeries? (last 12 months)
- Do you have osteoporosis, arthritis, or joint conditions?
Medical Conditions
- Do you have any respiratory conditions (asthma, COPD, etc.)?
- Do you have diabetes or blood sugar issues?
- Do you have neurological conditions (e.g., epilepsy, MS)?
- Do you have any other medical condition that may affect your ability to exercise safely?
If YES, please explain:
Pregnancy & Postnatal
- Are you currently pregnant?
- Have you given birth in the last 12 months?
- If postnatal, have you been cleared to exercise by a healthcare professional?
Lifestyle & Readiness
- Are you new to exercise or returning after a long break?
- Do you experience high stress or fatigue regularly?
- Is there anything else we should know to support you safely?
Consent & Acknowledgement
I confirm that:
- I have answered all questions honestly
- I will inform my instructor of any changes to my health
- I understand Pilates involves physical movement and carries some risk
- I take responsibility for working within my limits
- I have been advised to seek medical clearance if required
I agree to participate at my own risk.
Client Signature:
Date: