PAR - Q Name * First Name Last Name Email * Phone (###) ### #### Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor? * Do you feel pain in your chest when you do physical activity? * In the past month, have you had chest pain when you were not doing physical activity? * Do you lose your balance because of dizziness or do you ever lose consciousness? * Do you have a bone or joint problem (for example: back, knee, or hip) that could be made worse by a change in your physical activity? * Is your doctor currently prescribing drugs (for example: water pills, ozempic, etc...) for your blood pressure, heart condition, or weight management? * Do you know of any other reasons why you should not do physical activity? * Thank you!
