Physical Activity Readiness Questionnaire
Regular physical activity is fun and healthy, and increasingly more people are starting to become more active every day. Being more active is very safe for most people. However, some people should check with their doctor before they start becoming much more physically active.
If you are planning to become much more physically active than you are now, start by answering the seven questions in the box below. If you are between the ages of 15 and 69, the PAR-Q will tell you if you should check with your doctor before you start. If you are over 69 years of age, and you are not used to being very active, check with your doctor.
Common sense is your best guide when you answer these questions. Please read the questions carefully and answer each one honestly:
Name *
Age *
Email *
What are your Fitness goals? (check all that apply) *
1 point
Do you follow a current exercise regime? (if yes, explain.) *
1 point
What is your current activity level? *
Do you feel pain in your chest when you do physical activity?
In the past month, have you had chest pain when you were not doing physical activity?
Do you lose your balance because of dizziness or do you ever lose consciousness?
Have you ever suffered from a concussion? (when?)
Do you have a bone or joint problem that could be made worse by a change in your physical activity?
Have you had any injuries in the past 5 years?
Are you currently taking medications?
Upon entering the class, students must sign Fredericksburg Field House waiver.
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