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Physical Activity Readiness Questionnaire – VEO by Emaar Hospitality Group

This Participant Consent Form (“Form”) is in respect of the Dubai Fitness Challenge event (“Event”) brought to you by VEO Fitness & Wellness Clubs (“Club”) by Emaar Hospitality Group and its subsidiaries and affiliated companies (collectively referred to as “EHG”)

The physical activity readiness questionnaire (“PAR-Q”) set out under the Annexure 1 of this Form is a standardized form that participants fill out prior to beginning a physical activity (“Activity”). The results of this form help us to determine if further medical clearance or modifications are needed before your participation in the is Event. The Annexure 1 and terms and conditions including the Privacy Policy set out under shall form part of this Form.

Has your doctor ever said that you have a heart condition (had a stroke, heart attack, or heart surgery) and/ or that you should only do physical activity recommended by a doctor?
Do you feel pain in your chest when you do physical activity?
In the past month, have you had chest pain when you were not doing physical activity?
Do you lose your balance because of dizziness or do you ever lose consciousness?
Have you ever been told by a doctor that you have bone, joint, or muscle problems that could be made worse by physical activity?
Do you have a diagnosed illness that could be made worse by physical activity?
Is your doctor currently prescribing medication for your blood pressure or heart condition?
Do you know of any other reason why you should not do physical activity?

If you answer “yes” to any of the questions on the PAR-Q, it is recommended that you see a doctor before starting an exercise program. This is because you may be at higher risk for experiencing an adverse event during exercise.*

Yes No

Are you supervising child under 16 yo?

Yes No