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Physical Activity Readiness Questionnaire

Please fill out the following form. Information will only be used by 50Grand H&F Personnel.

Have you been told by a medical professional to abstain from physically strenuous activity?
Have you been diagnosed or had any problems with any of the following: (Check all that apply)
Have you been hospitalized in the last 12 months?
Are you suffering from a medical condition, illness, or injury?

Thanks for submitting!

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