Physical Activity Readiness Questionnaire (PAR-Q)
Please read each question carefully and answer each one honestly.  

This questionnaire is to be used by individuals between the ages of 15 and 69.  If you are over the age of 69 please check with your doctor before participating in physical activity.

This form is based on the Physical Activity Readiness Questionaire written by the Canadian Society for Exercise Physiology ( Alternatively, you can access the official CSEP PAR-Q form at, complete, and email to

If you have any questions, please reach out to us at
Sign in to Google to save your progress. Learn more
Has your doctor ever said that you have a heart condition AND that you should only do physical activity recommended by a doctor? *
Do you feel pain in your chest when you do physical activity? *
In the past month, have you had chest pain when you are not doing physical activity? *
Do you lose your balance because of dizziness or do you ever lose consciousness? *
Do you have a bone or joint problem that could be made worse by a change in your physical activity? (Examples: back, hip or knee) *
Is your doctor currently prescribing drugs for your blood pressure or heart condition? *
Do you know of any other reason why you should NOT do physical activity? *
If you answered YES to any of the above questions please describe in more detail as to why you answered YES.
"I have read, understood and completed the questionnaire. By selecting 'Agree' it will act as my signature on this questionnaire." *
Full name *
Date signed *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy