2. Health & medical history¶

Filled by Client · Questions 30 · Time ~15 min · Prefix health_, parq_ in 2.1

The gate. Everything downstream depends on this section being answered honestly, so it comes early and its wording should stay plain and non-judgemental.

Stop rule

A Yes to any question in 2.1 Pre-exercise screening means no exercise testing and no programming until, where indicated, written medical clearance is on file. See Screening red flags.

2.1 Pre-exercise screening¶

Modelled on the PAR-Q+. All are required, all are Yes/No unless noted.

ID	Question	Type	Options / units	Req.
`parq_1_heart`	Has your doctor ever said you have a heart condition or high blood pressure?	Yes/No	—	Yes
`parq_2a_breathlessness`	Do you experience shortness of breath?	Single choice	No / Yes, at rest / Yes, during physical activity / Yes, both at rest and during physical activity	Yes
`parq_2b_heart_rate`	Do you experience changes or irregularities in your heart rate?	Single choice	No / Yes, while resting / Yes, while sleeping / Yes, both while resting and sleeping	Yes
`parq_3_dizziness`	Have you lost balance because of dizziness, or lost consciousness, in the last 12 months?	Yes/No	—	Yes
`parq_4_condition`	Have you ever been diagnosed with another chronic medical condition?	Yes/No	—	Yes
`parq_5_medication`	Are you currently taking prescribed medication for a chronic condition?	Yes/No	—	Yes
`parq_6_msk`	Do you have a bone, joint or soft-tissue problem that could be made worse by becoming more physically active?	Yes/No	—	Yes

2.2 Conditions¶

ID	Question	Type	Options / units	Req.
`health_conditions`	Have you been diagnosed with any of the following?	Multi-select	High blood pressure / High cholesterol / Type 1 diabetes / Type 2 diabetes / Pre-diabetes / Heart disease / Stroke / Asthma / COPD or other lung condition / Thyroid disorder / Osteoporosis or osteopenia / Arthritis / Autoimmune condition / Cancer (current or past) / Epilepsy / Kidney disease / Liver disease / Digestive or GI condition / Anxiety / Depression / Other / None of these	Yes
`health_conditions_other`	Please describe the other condition(s).	Long text	—	Cond.
`health_diabetes_mgmt`	How is your diabetes managed?	Multi-select	Diet / Oral medication / Insulin / Other	Cond.

health_conditions_other → if health_conditions includes Other health_diabetes_mgmt → if health_conditions includes any diabetes option

2.3 Vitamins and dietary supplements¶

ID	Question	Type	Options / units	Req.
`health_supplements`	Do you currently take any vitamins or dietary supplements?	Multi-select	None / Multivitamin / Vitamin D / Vitamin C / Vitamin B12 or B-complex / Iron / Magnesium / Calcium / Zinc / Omega-3 / Probiotics / Fiber supplement / Protein powder / Collagen / Creatine / Herbal or hormonal supplement / Other	No
`health_supplements_other`	Please specify.	Short text	—	Cond.
`health_supplements_detail`	For each supplement selected, list the product name, dosage and how often you take it.	Repeating group	Product name, Dosage, How often	Cond.
`health_allergies`	Do you have any allergies?	Long text	Include severity	Yes
`health_drug_sensitivity`	Do you react badly to any medication or substance?	Long text	—	No

health_supplements_other → if health_supplements includes Other health_supplements_detail → if health_supplements is not None

2.4 Surgical & hospital history¶

ID	Question	Type	Options / units	Req.
`health_surgeries`	Have you had any surgery?	Yes/No	—	Yes
`health_surgeries_detail`	List each operation and its approximate date.	Repeating group	Procedure, date, fully recovered?	Cond.

health_surgeries_detail → if health_surgeries = Yes

2.5 Family history¶

The source sheet asks per relative rather than in aggregate, which surfaces noticeably more than a single yes/no does.

ID	Question	Type	Options / units	Req.
`health_family_matrix`	Has any of these relatives been diagnosed with the conditions listed?	Matrix	Rows: Mother · Father · Sibling · Maternal grandparent · Paternal grandparent · Aunt or uncle. Columns: Diabetes · Heart disease · Stroke · High blood pressure · Cancer · Epilepsy · Osteoporosis · Autoimmune · Other	No
`health_family_matrix_other`	Which relative, and what condition?	Long text	—	Cond.
`health_family_detail`	Anything you'd like to add about family health?	Long text	—	No

health_family_matrix_other → if health_family_matrix includes Other for any relative

2.6 Blood tests & other practitioners¶

ID	Question	Type	Options / units	Req.
`health_bloods_file`	Upload the results if you have them.	File upload	PDF or image	No
`health_practitioners`	Are you seeing, or have you recently seen, any of these?	Multi-select	Dietitian / Naturopath / Acupuncturist / Osteopath / Chiropractor / Physiotherapist / Psychologist or therapist / Other complementary practitioner / None of these	No
`health_practitioners_detail`	Who, what for, and are they treating you now?	Long text	—	Cond.

health_practitioners_detail → if health_practitioners is not None of these

health_practitioners prevents contradictory advice

Clients frequently arrive already working with someone else and don't mention it. Finding out on day one avoids a programme that pulls against a physiotherapist's plan or a dietitian's protocol.

2.7 Reproductive health¶

Safety-critical questions only. Cycle detail lives in section 3.7 — don't duplicate it here.

ID	Question	Type	Options / units	Req.
`health_births`	How many pregnancies and births have you had?	Short text	—	No

2.8 Lifestyle risk factors¶

ID	Question	Type	Options / units	Req.
`health_smoking`	Do you smoke or vape?	Single choice	Never / Former, quit over a year ago / Former, quit within a year / Occasionally / Daily	Yes
`health_alcohol_units`	How much alcohol do you typically consume in an average week? Indicate the quantity for each type.	Multi-select	I do not drink alcohol / Wine / Beer / Spirits / Other	Yes
`health_alcohol_wine_qty`	Wine — glasses or bottles per week	Short text	—	Cond.
`health_alcohol_beer_qty`	Beer — bottles or cans per week	Short text	—	Cond.
`health_alcohol_spirits_qty`	Spirits — shots or drinks per week	Short text	—	Cond.
`health_alcohol_other_qty`	Other — please specify	Short text	—	Cond.

health_alcohol_wine_qty → if health_alcohol_units includes Wine health_alcohol_beer_qty → if health_alcohol_units includes Beer health_alcohol_spirits_qty → if health_alcohol_units includes Spirits health_alcohol_other_qty → if health_alcohol_units includes Other

I do not drink alcohol is an exclusive escape option: selecting it clears every other option, and selecting any other option clears it. See Multi-select conventions.

2.9 Red flags¶

The PAR-Q+ screening in 2.1, and the conditions and history below, drive most of triage. Full outcome definitions are in Screening red flags; what follows is the subset this section's own fields feed.

Stop and refer immediately — no assessment, no session, today:

Shortness of breath at rest (parq_2a_breathlessness = Yes, at rest or Yes, both at rest and during physical activity)
Loss of consciousness or unexplained collapse in the last 12 months (parq_3_dizziness = Yes)

Chest pain is not on this list, and that is correct

No field in this section asks about it — parq_1_heart asks about a diagnosis, and parq_2a_breathlessness asks about breath. Chest pain is asked once, as an option on sys_cardio in 3.3, and its stop entry lives on that page with the field that produces it.

Clearance required before training — written clearance from the client's doctor, on file, before anything else:

Any Yes on the PAR-Q+ (2.1) that is not otherwise resolved by the rest of the questionnaire
A known heart condition, previous cardiac event, or cardiac surgery (health_conditions includes Heart disease or Stroke)
Uncontrolled diabetes, or diabetes with complications — neuropathy, retinopathy, kidney involvement (health_conditions, health_diabetes_mgmt)
Cancer treatment currently underway or completed within the last 6 months (health_conditions includes Cancer)
Epilepsy with seizures in the last 12 months (health_conditions includes Epilepsy — cross-check against sys_head / sys_neuro in 3.10)
Recent surgery — within 12 weeks, or outside the surgeon's stated return timeline (health_surgeries_detail)
Osteoporosis with a previous fragility fracture (health_conditions includes Osteoporosis)

Proceed with caution — train, but with documented modifications and a note of what was changed and why:

Flag	Source field	Typical modification
Controlled asthma	`health_conditions`	Extended warm-up; inhaler present and accessible
Controlled type 2 diabetes	`health_conditions`	Fixed session timing, glucose checked pre-session, fast-acting carbohydrate on hand
Osteopenia, no fracture history	`health_conditions`	No spinal flexion under load, no twisting under load; build impact gradually
Under active physio care	`health_practitioners`	Coordinate with the clinician before loading the affected area

health_smoking and health_family_matrix also count toward the cardiovascular risk factors used by the age thresholds in 1.6.

If a stop condition fires here, use the wording in Stop conditions and hand off immediately — do not finish this section first.

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