Par-Q Questionnaire for Pregnancy

General Par-Q

Pregnancy Specific Screening

Currently, or during previous pregnancies, have you suffered any of the following conditions?

On the following questions, please provide as much detail as possible. 
Please respond yes or no to the following:

For KelFit use only:

Antenatal notes seen?

HCP clearance received, where applicable?

Telephone consultation completed?

NOTE: Contraindications to Exercise 

Listed below are the current guidelines on ABSOLUTE CONTRAINDICATIONS to exercise. Please inform me immediately if you have experienced any of the following conditions (in this pregnancy) or have been told by your HCP that you have them. 

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