Physical Activity Readiness Questionnaire (PAR-Q)

Regular physical activity is fun and healthy, and increasingly more people are
starting to become more active every day. Being more active is very safe
for most people. However, some people should check with their doctor
before they start becoming much more physically active.
If you are planning you are planning to become much more physically active
than you are now, start by answering the seven questions in the box below.
If you are between the ages of 15 and 69, the PAR-Q will tell you if you
should check with your doctor before you start. If you are over 69 years
of age and you are not used to being very active, check with your doctor.
Common sense is your best guide when you answer these questions. Please
read the questions carefully and answer each one honestly.
Please fill in all fields
Has your doctor your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor? No
Yes
Do you feel pain in your chest when you do physical activity? No
Yes
In the past month, have you had chest pain when you were not doing physical activity? No
Yes
Do you lose your balance because of dizziness or do you ever lose consciousness? No
Yes
Do you have a bone or joint problem that could be made worse by a change in your physical activity? No
Yes
Is your doctor currently prescribing drugs (for example water pills) for your blood pressure or heart condition? No
Yes
Do you know of any other reason why you should not do physical activity?   No
Yes

Full Name