Take the Physical Activity Readiness Questionnaire


For all clients

Please complete the form below. All information is strictly confidential. The physical activity readiness questionnaire (PAR-Q) will help you decide if you are able to start exercising safely or if you might need a trip to your physician to make sure you don't push beyond your own limit.


Please read.

  • Exercise Disclaimer: You should be in the good physical condition and be able to participate in the exercise.

  • Ruth Astbury (Trading as Wellness with Ruth) is not a licensed medical care provider and represents that it has no expertise in diagnosing, examining, or treating medical conditions of any kind, or in determining the effect of any specific exercise on a medical condition. You should understand that when participating in any exercise or exercise program, there is the possibility of physical injury.

  • If you engage in this exercise or exercise program, you agree that you do so at your own risk, are voluntarily participating in these activities, assume all risk of injury to yourself, and agree to release and discharge Ruth Astbury (Trading as Wellness with Ruth) from any and all claims or causes of action, known or unknown, arising out of 'Wellness with Ruth ' negligence.


Please complete all questions