PARQ Form - Ki Fitness Boxing & Personal Training

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Pre-activity Readiness Questionnaire
Get ready to get started on your new fitness journey!
To best get the results you are after please complete the Client Assessment form below and submit to your trainer.
Please note that all information is held in the strictest of confidence and not disclosed to anyone without your written permission.
PERSONAL DETAILS













EMERGENCY CONTACT



MEDICAL HISTORY

YESNO

YESNO

YESNO

YESNO

IF YOU ANSWERED YES TO ANY OF THE ABOVE QUESTIONS YOU MUST OBTAIN A MEDICAL CERTIFICATE.
PSYCHOLOGICAL
Please rate from 1 to 5 - 1 being DISAGREE and 5 being AGREE

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12345

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GOALS

YESNO


YESNO


YESNO


YESNO

LIABILTY WAIVER


IF UNDER THE LEGAL AGE OF 18 YEARS PLEASE AGREE TO THE ABOVE. PLEASE DOWNLOAD, PRINT AND HAVE LEGAL GUARDIAN SIGN AND COMPLETE THE LIABILITY WAIVER FORM AT THE BOTTOM OF THE PAGE

sean@kifitness.net.au
0402 883 366
© Ki Fitness 2017
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