Physical Activity Readiness Questionnaire for Attitude Wellbeing

  • Physical Activity Readiness Questionnaire

    Please be as accurate as you can as some conditions impact what exercises you can do.
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  • Date of Birth*
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  • Health Questions

  • Do you have a bone/joint problem, such as arthritis, slipped disc, that might be, aggravated by exercise?*
  • Is your blood pressure either high or low?*
  • Do you have Diabetes or any other metabolic disease e.g. Hyperthyroidism?*
  • Do you have raised cholesterol?*
  • Do you have a heart condition?*
  • Have you ever been advised not to do physical activity?*
  • Have you ever felt pain in your chest when you do physical exercise?*
  • Have you ever suffered from shortness of breath at rest or with mild exertion?*
  • Do you frequently feel faint, or have spells of dizziness or lost consciousness?*
  • Do you suffer from Epilepsy?*
  • Are you, or is there any possibility that you might be, pregnant?*
  • Do you know of any other reason why you should not take part in physical activity?*
  • If you answered YES to any of the questions above, have you sought medical advice and your GP has agreed that you may exercise.*
  • Todays date*
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  • Should be Empty: