Sign Up. * Sign Up. * Sign Up. * Name First Name Last Name Email * Food Option Vegan Chicken Veggie 🩺 PAR-Q – Health Check Has your doctor ever said you have a heart condition or that you should only do physical activity recommended by a doctor? yes no Do you feel pain in your chest when you do physical activity? yes no In the past month, have you had chest pain when not doing physical activity? yes no Do you lose balance because of dizziness or do you ever lose consciousness? yes no Do you have a bone, joint, or back problem that could be made worse by a change in your physical activity? yes no Is your doctor currently prescribing medication for blood pressure or a heart condition? yes no I confirm that the above information is correct, and I understand I am participating at my own risk. Please sign and date
