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Parq Download Form
Answer each one honestly: check Yes or No
Yes
No
Yes
No
Yes
No
lose consciousness?
Yes
No
Do you have high blood pressure?
Yes
No
Do you have Diabetes?
Yes
No
Do you have feel pain in your chest when you do physical activity?
Yes
No
Yes
No
Yes
No
Yes
No
Have you been recently hospitalized?
If yes, explain:
Are you pregnant or have had a baby in the last six months?
Have you ever been advised by your doctor that you have a heart
condition and should only do physical...
Show details
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