Physical Activtiy Readiness Questionnaire
PAR-Q required to be filled in before training begins

Answer the following questions honestly by circling the appropriate answer ‘yes’ or ‘no’. If you have circled yes please use the text box to specify and elaborate on your response.
Full Name *
Your answer
1. Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor? *
2. Do you feel pain in your chest when you do physical activity *
3. In the past month, have you had chest pain when not doing physical activity? *
4. Do you lose balance because of dizziness or do you ever lose consciousness? *
5. Do you have a bone or joint problem (back, knee, hip) that could be made worse by a change in physical activity? *
6. Is your doctor currently prescribing drugs (.e.g. water pills) for your blood pressure or heart condition? *
7. Do you know of any other reason why you should not do physical activity? *
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy