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THE GREAT DRLF BIKE RIDE. 

To take part in the cycling event, please complete the Health Questionnaire below. 

Please note this is a mandatory requirement, and you must be 16 or over to take part. 

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By entering your details, you confirm that you are happy for the DRLF and The Fitness Collective to contact you regarding the event and to respond accordingly. 

About you.

PARQ. Physical Activity Readiness Questionnaire.

Has the Dr ever said you have a heart condition and that you should only do physical activity recomended by a Dr.
YES
NO
Do you feel any pain in your chest when you do physical activity?
YES
NO
In the past month, have you had chest pain when you were NOT doing physical activity?
YES
NO
Do you lose balance because of dizziness or do you every lose consciousness?
YES
NO
Do you have a bone or joint problem (eg. back, knee or hip) that could be made worse by physical activity?
YES
NO
Are you currently on any medication for blood pressure or a heart condition?
YES
NO
Do you know of ANY REASON why you shoudl not take part in physical activity?
YES
NO

If you answered YES to one or more questions, you should consult with your Doctor to clarify whether it is safe for you to become physically active at this current time in your current state of health.

If you answered NO to ALL of the questions, it is considered reasonably safe for you to participate in physical activitiy, gradually building up from your current ability level. A fitness assessment can help to determine your ability levels.

If you have answered YES to any of the above questions, by clicking submit you confirm that you have sought medical advice and your GP has agreed that you may exercise.

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