PHYSICAL ACTIVITY READINESS QUESTIONNAIRE (PAR-Q)

There are inherent risks in all aspects of physical exercise. The following PAR-Q is provided to help you make an informed decision on your voluntary participation in Reformer Pilates. Please answer the following questions to the best of your knowledge

1. Has your doctor ever said that you have a heart condition OR high blood pressure?  

Please seek guidance from an appropriate allied health professional or medical practitioner before undertaking exercise.

2. Do you feel pain in your chest at rest, during your daily activities of living, OR when you do physical activity?  

Please seek guidance from an appropriate allied health professional or medical practitioner before undertaking exercise.

Please seek guidance from an appropriate allied health professional or medical practitioner before undertaking exercise.

4. Have you ever been diagnosed with another chronic medical condition (other than heart disease or high blood pressure)?  

Please seek guidance from an appropriate allied health professional or medical practitioner before undertaking exercise.

5. Are you currently taking prescribed medications for a chronic medical condition?  

Please seek guidance from an appropriate allied health professional or medical practitioner before undertaking exercise.

6. Do you currently have (or have had within the past 12 months) a bone, joint, or soft tissue (muscle, ligament, or tendon) problem that could be made worse by becoming more physically active?  

Please seek guidance from an appropriate allied health professional or medical practitioner before undertaking exercise.

You are cleared to undertake physical activity/exercise.

Please seek guidance from an appropriate allied health professional or medical practitioner before undertaking exercise.

I have sought appropriate allied health professional or medical practitioner guidance.  

The PAR-Q is a self-administered and self-evaluated tool aimed to keep you safe. This tool is not designed to, and does not, provide medical advice. All content available on or through this tool are for general informational purposes only. The provider of this questionnaire is not responsible or liable for any advice, course of treatment, diagnosis or any other information, services or products that you obtain through this service.


You are encouraged to confer with your doctor with regard to information contained on or through this questionnaire. Never disregard professional medical advice, or delay in seeking it, because of something you have received as a result of this assessment.

Holdfast Pilates Liability Disclaimer

I declare that I am over 18 years of age (or have otherwise provided parental consent) and acknowledge and understand that I have voluntarily chosen to participate in the classes and activities offered by Holdfast Pilates (YMCA South Australia).

To the extent permitted by law, YMCA South Australia shall not be liable or responsible to you for any direct, indirect or consequential injury, loss or damage; and shall not be responsible for lost or stolen items, or damage to property or vehicles. Acknowledging the above, you agree to use the Centre at your own risk.

I acknowledge and agree that the training program may involve strenuous physical activity, however I am not obliged to perform, nor am I obliged to participate in any activity that I do not wish to do, and that it is my right to refuse such participation at any time during classes.

I understand that there are inherent risks in all aspects of physical exercise, and I acknowledge that I have been informed of the possible strenuous nature of training. I agree that prior to my participation I will inform Holdfast Pilates instructors of any known and relevant medical conditions or factors. If at any point during a workout I begin to feel faint, dizzy or have physical discomfort, I will stop immediately, notify the instructor and consult a medical professional. I agree to accept full responsibility for my decisions and agreeing to hold harmless YMCA South Australia, its agents, employees, contractors and any affiliated companies from any liability with respect to injury or illness to you or your property arising out of or connected with your use of the fitness content provided to you.

In agreeing to this disclaimer, I declare that I have advised Holdfast Pilates (Instructor) of any injury, back, neck or joint pain, restricted movement, heart issues, asthma, or high or low blood pressure, arthritis, slipped or bulging vertebral disk, pelvic floor conditions, dizziness, diabetes, epilepsy, hernia, bone degeneration, high cholesterol, allergies or chronic illness. I also declare that I have notified Holdfast Pilates if I am pregnant and/or have given birth in the last 12 months, or if I have undergone surgery in the past 12 months.