Intake Form

Physical activity readiness questionnaire (PAR-Q)

Regular physical activity is fun and healthy for most people, however, all participants should check with their doctor before starting an exercise program. If you are planning to use Get Flexy, you must answer the seven questions below. If you are between the ages of 15 and 69, the PAR-Q will tell you if you are required to check with your doctor and obtain a Physician’s Medical Release Form before you start. If you are over 69 years of age, you are required to check with your doctor and obtain a Physician’s Medical Release Form prior to using Get Flexy. Common sense is your best guide when you answer these questions. Please read each question carefully and answer each one honestly. Check Yes or No.

If you answered YES to one or more questions, or are over the age of 69:

Consult with your physician concerning your YES answers on the PAR-Q.
Obtain a Physician's Medical Release Form prior to using the services of Get Flexy Fitness Studio

Delay becoming much more active:

If you are not feeling well because of temporary illness such as cold or fever - wait until you feel better.
If you are or may become pregnant, talk to your doctor and receive a Physician's Medical Release Form prior to utilizing Get Flexy Fitness Studio services.

Please Note:

If your health changes so that you then answer YES to any of the above questions, your age exceeds 69, or you become pregnant, you are responsible for informing Get Flexy Fitness Studio and will be required to obtain a Physician's Medical Release form.

Personal Information

Current Fitness Status

Female body fat reference images

Male body fat reference images

Meal Plan Preferences

Lifestyle and Preferences

Physical activity readiness questionnaire (PAR-Q)

If you answered YES to one or more questions, or are over the age of 69:

Delay becoming much more active:

Please Note: