Physical Activity Readiness Questionnaire – PARQ
Regular exercise is associated with many health benefits, yet any change of activity may increase the risk of injury. Completion of this questionnaire is a first step when planning to increase the amount of physical activity in your life.
FRC invites you to try out evening club sessions for three weeks before deciding to join: that’s six sessions. If you wish to continue running with us after three weeks from today you must purchase club membership.

Submitting this form will generate a timestamp.


Please read each question carefully and answer honestly by ticking the appropriate answer.
Sign in to Google to save your progress. Learn more
Name *
Age today
 *
You must be at least 18 years old.
Mobile phone number
 *
Email address
 *
Do you have any pre-existing medical conditions? *
Do you have a respiratory condition? *
When doing physical activity do you experience any pain or tightness in your chest? *
Do you ever lose balance or consciousness because of dizziness or light headedness? *
Do you have a joint or bone condition or problem? *
Are you pregnant or post-partum? *
How far are you presently comfortable to run? *
If you can run 5k, approximately how long would it take you?
 *
What would you like to get out of a running club?
Do you want to improve speed, distance, your running generally, or are you just looking for people to run with? Whatever you think, and it's fine if you don't want to say!
How did you find us?
If you'd like to, please tell us how you found us and why you thought we were worth approaching.
Is there anything we need to know to make things work for you?
Formal declaration
By ticking the box below I declare that I have completed this questionnaire fully and honestly. If I have answered Yes to any of the questions above I will discuss this with the run leader before my first session and it is my responsibility to ensure that they understand any limitations or constraints that may be required.

I will inform my Leader in Running Fitness if there are any changes in my circumstances. I take part in any recommended programme entirely at my own risk and waive any legal recourse for damages to myself or property arising from my participation.

If I have any doubts about engaging in physical activity I will consult with a doctor before starting activity. I understand that a doctor, and not a leader or coach, must be content before I start a programme of activity. Additionally, if my health changes during the programme I should refer to my GP or doctor for advice.

Privacy Statement:
Your responses to this form will be stored in a Google Sheets documents for three years whether you choose to join us or not. It is only accessible to those with a legitimate reason for access.
Your information will not be used for any purpose other than for running club administration.

The questions and wording on this form are derived from the England Athletics PARQ template.
I have read and agree with the above
 *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms