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Physical Activity Readiness Questionaire

If this is your first time booking a class, please fill in this form so we understand any needs or injuries you have. If you're filling the form out for a child (under 16yrs) please answer all relevant questions in relation to the child.

If you answered 'yes' to any of the questions below, please contact your GP before partaking in physical activity. Talk to your doctor about the questions you answered yes to, and the types of activities you'd like to partake in and they'll be able to advise you on the best course of action to take.

Please note: If you're health changes so you subsequently answer 'yes' to the questions below, please inform us immediately.

Have you ever been advised by a doctor that you have a heart condition and should only do exercise recommended by a doctor?
Do you feel pain in your chest when you do physical activity?
Have you ever felt chest pain when you are not doing physical activity?
Do you ever feel faint or have spells of dizziness?
Do you have a bone or joint condition that could be made worse by physical activity?
Have you ever been told you have high blood pressure?
Are you currently taking any medication?
Do you have an allergy?
Do you consent to your child appeaing on DANCE website and socail media in video and photos?

Your response has been submitted

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