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REACTIVITY QUESTIONNAIRE
In preparation for physical activity, please tell us about ALL of your existing medical and physical conditions, and who to contact in an
emergency. It is your responsibility
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How to fill out pre-activity questionnaire
How to fill out a pre-activity questionnaire:
01
Start by carefully reading through the entire questionnaire to understand the purpose and information being asked.
02
Begin by providing your personal details, such as your name, age, gender, and contact information.
03
Answer any medical questions truthfully and accurately. This may include disclosing any pre-existing conditions, allergies, or past injuries that may be relevant to the activity.
04
If required, indicate any current medications you are taking or any specific medical restrictions you may have.
05
Answer questions related to your physical fitness level and previous experience in similar activities, if applicable.
06
Provide emergency contact information for a person who can be reached in case of any unforeseen circumstances during the activity.
07
If required, sign and date the questionnaire to show that you have completed it truthfully and to the best of your knowledge.
Who needs a pre-activity questionnaire?
01
Individuals participating in activities that involve physical exertion, such as sports, exercise classes, or outdoor adventures, may be required to complete a pre-activity questionnaire.
02
People with pre-existing medical conditions, such as heart problems, asthma, or allergies, may need to fill out a questionnaire to ensure their safety during the activity.
03
Some organizations, such as fitness centers, sports clubs, or event organizers, may have a policy that mandates participants to fill out a pre-activity questionnaire as part of their risk management and liability protection measures.
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