Tay's Yoga Halifax - The Therapeutic Approach Since 1997

PAR-Q Form

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Regular physical activity is fun and healthy, and increasingly more people are starting to become more active every day. Being more active is very safe for most people. However, some people should check with their doctor or nurse practitioner before they start becoming much more physically active.

If you are planning to become much more physically active than you are now, start by answering the seven questions in the box below. If you are between the ages of 15 and 69, the PAR-Q will tell you if you should check with your doctor or nurse practitioner before you start. If you are over 69 years of age, and you are not used to being very active, check with your doctor or nurse practitioner.

Common sense is your best guide when you answer these questions. Please read the questions carefully and answer each one honestly: check YES or NO.

1. Has your doctor or nurse practitioner ever said that you have a heart condition and that you should only do specific physical activity they have recommended?
2. Do you feel pain in your chest when you do physical activity?
3. In the past month, have you had chest pain when you were not doing physical activity?
4. Do you lose your balance because of dizziness or do you ever lose consciousness?
5. 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?
6. Have you ever been told that you have osteoporosis or "brittle bones" and/or have you been prescribed medication to strengthen your bones?
7. Are you currently taking prescription medication (for example, water pills) for your blood pressure or heart condition?
8. Do you know of any other reason why you should not do physical activity?
PERSONAL INFORMATION
Name

Par-Q Form

Get Good Advice

You can obtain information and advice about exercise safety from your doctor, a sports medicine doctor, physiotherapist, kinesiologist, an exercise physiologist or see a sporting association about sporting technique and equipment.

Take care and listen to your body

Injuries are more likely if you ignore your body’s signals of fatigue, discomfort and pain.

Suggestions include:

  • See a medical doctor for a full medical check-up before embarking on any new fitness program.
  • Cross-train with other activities or exercises to reduce the risk of overtraining.
  • Make your exercise program progressive. Respect your current fitness level by starting an exercise program at a pace and duration that you know you can maintain. Increase intensity and duration gradually.
  • Make sure you have at least one recovery day, and preferably two, every week.
  • Injuries need rest – trying to ‘work through’ the pain will cause more damage to soft muscle tissue and delay healing.
  • If you have a pre-existing injury or an area that is prone to injury, consult your doctor or physiotherapist before starting.
  • Rehabilitation exercises may help to strengthen an injured area.
AGREEMENT
I have read and understand all the above questionnaire.  Any questions I had were answered to my full satisfaction.  I am submitted this form electronically, and by clicking on submit I agree that my electronic signature represents my physical signature. 

Yoga is educational, and each student is responsible for his or her own health, safety and well-being while participating. Students hereby agree to inform instructors of any activity that cannot be safely performed and will not perform any activity that is likely to cause injury. The student agrees to hold instructors free from any and all responsibility for any injury that may be sustained during or as a result of classes or online courses.
 
The student agrees to using online appointment scheduling and to have his/her/their digital information stored in GroupApp (US Company) while TAYS has a contract for bookings and yoga course management with this company.