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Your next of kin

In the event we need to get help to your location, please provide a contact name and number for a next of kin (optional)

Health screening questionnaire

Please find below our Health Screening Questionnaire we ask all participants to read before taking part in any of our exercise-based activities online.

Please read the following questions, considering an answer of either ‘Yes’ or ‘No’ to each of the questions, before providing a collective answer to all in the ‘Your answers’ section.

  • Has a doctor ever said that you have a heart condition or that you should only do physical activity recommended by a doctor?
  • Do you ever experience chest or arm pain either at rest or during physical activity/exertion?
  • Do you lose balance because of dizziness or loss of consciousness?
  • Do you have any joint or bone problems that are made worse by physical activity?
  • Do you have high/low blood pressure?
  • Is your doctor currently prescribing medication for your blood pressure or any heart condition?
  • Are you a diabetic taking medication?
  • Are you or could you be pregnant?
  • Do you experience asthma or any breathing difficulties when exercising?
  • Do you know of any other reason why you should not take part in physical activity?

Your answers

Once you have read the questions, please tick one of the following boxes below:

By answering ‘NO’ to ALL of the questions, it is reasonable to assume you are safe to participate in physical activity. Please remember that all exercise participation involves a risk of injury.

About You (optional)

We ask these questions to monitor and ensure that we are reaching and supporting people from all parts of society.

What is your gender? I identify as…

How old are you? My age fits into this bracket

What is your sexuality? I would describe my sexuality as…

What is your ethnic group? I would best describe my ethnic group or background as…

What is your religion?

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