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Health & Wellness template

Free activity waiver and PAR-Q form template

The standard readiness questions, then a signed declaration.

  • 9 questions
  • Multi-step
  • 1 conditional
  • Free, unlimited responses

Opens in your dashboard with the whole form in front of you. Nothing is created until you say so — keep it, restyle it, or pick a different one.

Readiness · step 1 of 2

Before you take part

Has a doctor ever said you have a heart condition?

NoYes

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

NoYes

Do you lose balance from dizziness, or lose consciousness?

NoYes

Do you have a bone or joint problem that could be made worse by activity?

NoYes

Are you taking medication for blood pressure or a heart condition?

NoYes

+ 4 more questions

Submit

Try it in another theme

Ships in Glass · 26 to choose from

Tap any theme to see this form wearing it.

The standard physical activity readiness questions, then a signed declaration. Answering yes to any of them does not stop someone taking part — it means having a word with their doctor first, and the form says so.

Questions
9 in total — 8 required — 1 shown only when relevant
Format
Multi-step
Theme
Glass, changeable to any of the 26
Cost
Free, with no cap on responses

The 9 questions it asks

In order, with their field types. Edit, reorder or delete any of them once it's yours.

Step 1Readiness

  • 1Has a doctor ever said you have a heart condition?Multiple choice · e.g. NoRequired
  • 2Do you feel pain in your chest when you do physical activity?Multiple choice · e.g. NoRequired
  • 3Do you lose balance from dizziness, or lose consciousness?Multiple choice · e.g. NoRequired
  • 4Do you have a bone or joint problem that could be made worse by activity?Multiple choice · e.g. NoRequired
  • 5Are you taking medication for blood pressure or a heart condition?Multiple choice · e.g. NoRequired
  • 6Any other reason you should not take part?Multiple choice · e.g. NoRequired
  • 7Would you tell us more?Long textConditional

Step 2Declaration

  • 8Emergency contact — name and numberShort textRequired
  • 9I confirm the answers above are true and take part at my own riskSignatureRequired

1 question is conditional. It only appears when an earlier answer calls for it — so most people answer 8, not 9.

When to reach for it

  • Gyms and studios
  • Sports clubs
  • Adventure activities
  • Events and races

And once it's yours

All of it on the free plan — none of this is an upgrade prompt.

  • Conditional logicShow a question only when an earlier answer calls for it.
  • Sheets, Slack and webhooksSend every response where your team already works.
  • 26 themes, one clickThe same form, restyled from type to field shape.

Frequently asked questions

Is this medical clearance?

No. It is a record of readiness and a signed declaration. It does not replace advice from a doctor, and FormSnapp makes no HIPAA claim.

What happens if someone answers yes?

Nothing stops them — the form asks for a little detail and tells them to speak to their doctor before taking part.

Can people sign on a phone?

Yes, the signature field works with a finger on a touchscreen.

Designed to be answered

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