PARQ

    Please fill out the following before attending our Female Fighters Camp 2019

    Has your doctor ever said that you have a heart condition and that you should only perform
    physical activity recommended by a doctor?
    YesNo

    Do you feel pain in your chest when you perform physical activity?
    YesNo

    Do you lose your balance because of dizziness or do you ever lose consciousness?
    YesNo

    Do you have a bone or joint problem that could be made worse by a change in your physical activity?
    YesNo

    Do you suffer from asthma, or breathing difficulties?
    YesNo

    Do you suffer from diabetes or epilepsy?
    YesNo

    Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition?
    YesNo

    Do you know of any other reason why you should not do physical activity?
    YesNo

    Have you ever had any injuries or chronic pain? (If YES, please explain.)
    YesNo
    If yes:

    Have you ever had any surgeries? (If YES, please explain.)
    YesNo
    If yes:

    Has a medical doctor ever diagnosed you with a chronic disease, such as heart disease,
    hypertension, high cholesterol, or diabetes? (If YES, please explain.)
    YesNo
    If yes:

    Are you currently taking any medication? (If YES, please explain.)
    YesNo
    If yes:

    Please inform us if there are any disabilities we need to know about. Including any learning disabilities, neurological conditions, hearing or vision impairments. Also if there are any reasonable adjustments we can implement to help your camp be enjoyable :

    If you have answered YES to one or more of the above questions, consult your physician
    before engaging in physical activity. Tell you physician which questions you answered
    YES to. After medical evaluation, seek advice from your physician on what type of
    activity is suitable for your current condition.

    By attending the camp you agree that you have sort advice or accept liability in relation to anything mentioned above.

    By submitting this form you are confirming that you have read, understood and completed this questionnaire. Any questions I had were answered to my full satisfaction.