New Client

Health Questionnaire

Please complete this form before starting your coaching programme. Your answers help me coach you safely and effectively.

Why do I need to fill this in?

This is a standard Physical Activity Readiness Questionnaire (PAR-Q) used across the UK coaching industry. It helps identify any health conditions that may need consideration when building your training plan. Ian Bibby Coaching provides sports coaching only — not medical advice, diagnosis, or treatment. Your health data is protected under UK GDPR and will only be used for coaching purposes. See our Privacy Policy for details.

A Personal Details

B Emergency Contact

Relationship *

C GP / Medical Practice

This information is collected in case of a medical emergency and will only be used for that purpose.

D Physical Activity Readiness (PAR-Q)

Please answer each question honestly. If you answer "Yes" to any question, please provide details.

1. Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?

2. Do you feel pain in your chest when you do physical activity?

3. In the past 12 months, have you had chest pain when you were not doing physical activity?

4. Do you lose your balance because of dizziness or have you lost consciousness in the past 12 months?

5. Do you have a bone or joint problem (e.g. back, knee, or hip) that could be made worse by a change in your physical activity?

6. Is your doctor currently prescribing medication for your blood pressure or heart condition?

7. Do you know of any other reason why you should not do physical activity? This includes pregnancy or having given birth in the last 6 months.

E Training Background

Not set
Not set
Not set
Not set

F Consent & Declaration

Statements marked are required. The one marked Optional is entirely up to you.

Your data is processed securely and only used for coaching purposes. You can request deletion at any time.