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PAR-Q Form

Birthday
Day
Month
Year
Do you have any pre-existing medical conditions

Please select all that apply

Have you had any surgeries in the past year?
Yes
No
Please rate your current physical fitness level on a scale of 1 to 10, with 1 being not fit at all and 10 being extremely fit
Would you like to receive email updates and exclusive offers from adhone pilates?
Yes
No
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