Physical Activity Readiness Questionnaire (PAR-Q)

by PTontheNET Library | Date Released : 29 Sep 2004

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PAR-Q is designed to help you help yourself. Many health benefits are associated with regular exercise, and the completion of a PAR-Q is a sensible first step to take if you are planning on increasing the amount of physical activity in your life. For most people physical activity should not pose a problem or hazard. PAR-Q has been designed to identify the small number of adults for whom physical activity might be inappropriate or those who should have medical advice concerning the type of activity most suitable for them. Common sense is your best guide in answering these few questions. Please read them carefully and check the correct answer opposite the question.

Has your doctor ever said you have heart trouble?	Yes No
Do you frequently have pains in your heart or chest?	Yes No
Do you tend to lose consciousness or fall over as a result of dizziness?	Yes No
Do you have a bone or joint problem that could be or has been aggravated by exercise?	Yes No
Has your doctor ever recommended medication for your blood pressure or a heart condition?	Yes No
Are you aware, through your own experience or a doctor’s advice, of any other physical reason against your exercising without medical supervision?	Yes No
Are you over the age of 65 and not accustomed to vigorous exercise?	Yes No
If you answered YES to one or more of the above questions, please answer the following questions:
Have you consulted with your physician regarding increasing your physical activity and/or performing a fitness assessment? ____ initials	Yes No
If you answered no to question 8, will you consult your physician prior to increasing your physical activity and/or performing a fitness assessment?____initials/li>	Yes No

Signature__________________

Name _____________________ Date________

Trainer’s name________________________
Signature_________________

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Physical Activity Readiness Questionnaire (PAR-Q)

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