Physical Activity Readiness Questionnaire (“PAR-Q”) and you (a questionnaire for people aged 16-69)

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Regular physical activity is fun and healthy, and increasingly people are starting to become more active every day. Being more active is very safe for most people, however, it is advisable for some people to check with their doctor before they start becoming much more physically active.

This questionnaire will help you to determine whether you need to seek advice before increasing your exercise levels.

To start with, please provide some information about yourself. Please note that this will not be shared with anyone else, or used without your permission.

If you are lucky enough to be under the age of 16, your form will need to be completed with a parent or guardian. Please contact us on 07767 608462 for details.

Email *

What is your full name? *

What is your mobile phone number? *

What is your date of birth? *

YYYY

Please provide an emergency contact name. *

Provide provide a phone number for your emergency contact *

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