
CT Ellington Senior Center PAR-Q Form 2013-2025 free printable template
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PAR-Q Form Name DOB Health Care Provider Date Weight Phone Questions Has your health care provider ever said that you have a heart condition and that you should only perform physical activity recommended by a doctor Yes No Do you feel pain in your chest when performing physical activity Have you experienced chest pain when NOT performing physical activity in the last month Do you lose your balance because of dizziness or have you lost consciousness recently Do you have any bone or joint...
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How to fill out CT Ellington Senior Center PAR-Q Form
01
Obtain the CT Ellington Senior Center PAR-Q Form from their website or at the center.
02
Start by filling in your personal information, including your name, date of birth, and contact details.
03
Answer the screening questions honestly regarding your health status and any existing medical conditions.
04
If you answer 'yes' to any questions, consider consulting a healthcare provider before engaging in physical activities.
05
Review your answers to ensure accuracy and completeness.
06
Sign and date the form to confirm that the information provided is correct.
07
Submit the completed PAR-Q Form to the designated staff at the CT Ellington Senior Center.
Who needs CT Ellington Senior Center PAR-Q Form?
01
Any individual who is planning to participate in physical activities or wellness programs at the CT Ellington Senior Center.
02
Seniors looking to ensure their safety and health while engaging in exercise or recreation.
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What is CT Ellington Senior Center PAR-Q Form?
The CT Ellington Senior Center PAR-Q Form is a Physical Activity Readiness Questionnaire designed to help determine if individuals are ready to engage in physical activities safely.
Who is required to file CT Ellington Senior Center PAR-Q Form?
Individuals who wish to participate in physical activities or programs at the CT Ellington Senior Center are required to file the PAR-Q Form.
How to fill out CT Ellington Senior Center PAR-Q Form?
To fill out the CT Ellington Senior Center PAR-Q Form, individuals should carefully read each question and provide accurate answers based on their health status and physical condition.
What is the purpose of CT Ellington Senior Center PAR-Q Form?
The purpose of the CT Ellington Senior Center PAR-Q Form is to assess an individual's health and fitness levels to ensure they can safely participate in physical activities.
What information must be reported on CT Ellington Senior Center PAR-Q Form?
The information that must be reported on the CT Ellington Senior Center PAR-Q Form includes personal health details, any current medical conditions, and answers to questions regarding past injuries or physical limitations.
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