Health and Consent Form

(Physical Activity Readiness Questionnaire)

Please read this form carefully and answer each question honestly.

This questionnaire is a self-check to help you decide whether it is necessary to seek further advice from your doctor or healthcare team before joining our Parkinson's Exercise Programme or taking part in any form of physical activity with us.

Your answers are for you. We do not review, assess or medically check your responses. It is your responsibility to follow any advice given by the questionnaire.

If your answers indicate that you should seek medical advice, or if you are unsure whether exercise is right for you, please consult your doctor or healthcare team before taking part in our programme.

If you answered YES to any question above, you should seek medical advice before starting our programme or taking part in any form of physical activity with us. Please tick this box to confirm that you understand.

I understand that my Parkinson's symptoms can change from day to day, and I will choose the exercises and options that feel right and safe for me based on how I’m feeling.

I understand that participation in exercise may carry some risks. This can include things like losing balance or falls, muscle soreness, feeling tired, or changes in Parkinson's symptoms.

I confirm that to the best of my knowledge, I am fit to participate in physical activity. I understand that taking part in physical activity is my choice and that I take part at my own risk.

I confirm the information I have provided is accurate and consent to participate.

Your information will be stored securely and used only for safety, participation, and program delivery purposes, in line with UK data protection laws. I consent to my information being collected and stored for these purposes.

Health and Consent Form

(Physical Activity Readiness Questionnaire)

Join Our Free Trial