2022 PAR-Q+

The health benefits of regular physical activity are clear; more people should engage in physical activity every day of the week. Participating in physical activity is very safe for MOST people. This questionnaire will tell you whether it is necessary for you to seek further advice from your doctor OR a qualified exercise professional before becoming more physically active.

Please read the 7 questions below carefully and answer each one honestly: check YES or NO.

If you answered NO to all of the questions above, you are cleared for physical activity.

Please sign the PARTICIPANT DECLARATION. You do not need to complete Pages 2 and 3.

* Start becoming much more physically active start slowly and build up gradually.

* Follow Global Physical Activity Guidelines for your age (https://www.whouint/publications/i/item/9789240015128)

* You may take part in a health and fitness appraisal.

* If you are over the age of 45 yr and NOT accustomed to regular vigorous to maximal effort exercise, consult a qualified exercise professional before engaging in this intensity of exercise.

* If you have any further questions, contact a qualified exercise professional.

PARTICIPANT DECLARATION

If you are less than the legal age required for consent or require the assent of a care provider, your parent. guardian or care provider must also sign this form.

I, the undersigned, have read, understood to my full satisfaction and completed this questionnaire. Tacknowledge that this physical activity clearance is valid for a maximum of 12 months from the date it is completed and becomes invalid if my condition changes. also acknowledge that the community/fitness center may retain a copy of this form for its records. In these instances, it will maintain the confidentiality of the same, complying with applicable law.

If you answered YES to one or more of the questions above, COMPLETE PAGES 2 AND 3.

Delay becoming more active if:

* You have a temporary illness such as a cold or fever; it is best to wait until you feel better.

* You are pregnant talk to your health care practitioner, your physician, a qualified exercise professional, and/or complete the ePARmed-X+ at www.eparmedx.com before becoming more physically active.

* Your health changes answer the questions on Pages and 3 of this document and/or talk to your doctor or a qualified exercise professional before continuing with any physical activity program

Copyright c 2022PAR-O+ Collaboration 01-11-2021

1. Do you have Arthritis, Osteoporosis, or Back Problems?


If the above condition(s) is/are present, answer questions 1a-1c

2. Do you currently have Cancer of any kind?

If the above condition(s) is/are present, answer questions 2a-2b

3. Do you have a Heart or Cardiovascular Condition? This includes Coronary Artery Disease, Heart Failure, Diagnosed Abnormality of Heart Rhythm

If the above condition(s) is/are present, answer questions 3a-3d

4. Do you currently have High Blood Pressure?

If the above condition(s) is/are present, answer questions 4a-4b

5. Do you have any Metabolic Conditions? This includes Type 1 Diabetes, Type 2 Diabetes, Pre-Diabetes

If the above condition(s) is/are present, answer questions 5a-5e

Copyright c Collaboration 2 /4

6. Do you have any Mental Health Problems or Learning Difficulties? This includes Alzheimer's, Dementia, Depression, Anxiety Disorder, Eating Disorder, Psychotic Disorder, Intellectual Disability, Down Syndrome

If the above condition(s) is/are present, answer questions 6a-6b

7. Do you have a Respiratory Disease? This includes Chronic Obstructive Pulmonary Disease, Asthma, Pulmonary High Blood Pressure.

If the above condition(s) is/are present, answer questions 7a-7d

8. Do you have a Spinal Cord Injury? This includes Tetraplegia and Paraplegia.

If the above condition(s) is/are present, answer questions 8a-8c

9. Have you had a Stroke? This includes Transient Ischemic Attack (TIA) or Cerebrovascular Event.

If the above condition(s) is/are present, answer questions 9a-9c

 

10. Do you have any other medical condition not listed above OR do you have two or more medical conditions? 

If the above condition(s) is/are present, answer questions 10a-10c

 

Copyright c Collaboration 3/4 01-11-2021

If you answered NO to all of the FOLLOW-UP questions (pgs. 2-3) about your medical condition, you are ready to become more physically active - sign the PARTICIPANT DECLARATION below:

* It is advised that you consult a qualified exercise professional to help you develop a safe and effective physical activity plan to meet your health needs.

* You are encouraged to start slowly and build up gradually 20 to 60 minutes of low to moderate intensity exercise, 3-5 days per week including aerobic and muscle Strengthening exercises.

* As you progress, you should aim to accumulate 150 minutes or more of moderate intensity physical activity per week.

* If you are over the age of 45 yr and NOT accustomed to regular vigorous to maximal effort exercise, consult a qualified exercise professional before engaging in this intensity of exercise.


If you answered YES to one or more of the follow-up questions about your medical condition:

* You should seek further information before becoming more physically active or engaging in a fitness appraisal.

* You should complete the specially designed online screening and exercise recommendations program the ePARmed-X+ at www.eparmedx.com and/or visit a qualified exercise professional to work through the ePARmed-X+ and for further information.

Delay becoming more active if:

* You have a temporary illness such as a cold or fever; it is best to wait until you feel better.

* You are pregnant talk to your health care practitioner, your physician, a qualified exercise professional, and/or complete the ePARmed-X+ at www.eparmedx.com before becoming more physically active. Your health changes talk to your doctor or qualified exercise professional before continuing with any physical activity program.

* You are encouraged to photocopy the PAR-Q+. You must use the entire questionnaire and NO changes are permitted.
* The authors, the PAR-Q+ Collaboration, partner organizations, and their agents assume no liability for persons who undertake physical activity and/or make use of the PAR-Q+ or ePARmed-X+. If in doubt after completing the questionnaire, consult your doctor prior to physical activity.

 

____________________________________________________________________

 

PARTICIPANT DECLARATION 

 

* All persons who have completed the PAR-Q+ please read and sign the declaration below.

* If you are less than the legal age required for consent or require the assent of a care provider, your parent, guardian or care provider must also sign this form.

I, the undersigned, have read, understood to my full satisfaction and completed this questionnaire. I acknowledge that this physical activity clearance is valid for a maximum of 12 months from the date it is completed and becomes invalid if my condition changes. I also acknowledge that the community/fitness center may retain a copy of this form for records. In these instances, it will maintain the confidentiality of the same, complying with applicable law.

For more information, please contact www.eparmedx.com Email:eparmedx@gmail.com


Citation for PAR-Q+
Warburton DER, Jamnik VK, Bredin SSD, and Gledhill N on behalf of the PAr-Q+ Collaboration. The PHysical Activity Readiness Questionnaire for Everyone (PAR-A+) and Electronic PHysical Activity Readiness Medical Examinattion (ePARmed-X+). Health & Fitness Journal of Canada 4(2): 3-23, 2011.

Key References

1. Jamnik VK, Warburton DER, Makarski J, McKenzie DC, Shephard RJ, Stone J & Gledhill N. Enchancing the effectiveness of clearance for physical activity participation, background and overall process. APNM 36(51):53-513, 2011.

2. Warburton DER, Gledhill N, Jamnik VK, Bredin SSD, McKenzie DC, Stone J, Charlesworth S, and Shephard RJ. Evidence-based risk assessment and recommendations for physical activity clearance.; Consensus Document, APNM. 

3. Chisholm DM, Collis ML, Kulak LL, Davenport W, and Guber N. Physical activity readiness. British Colom bia Medical Journal 1975; 17;375-378.

4. Thomas S, Reading J, and Shephard RJ. Revision of the Physical Activity Readiness Questionnaire (PAR-Q). Canadian Journal of Sport Science 1992;17:4, 338-345. 

 

The PAR-Q+ was created using the evidence based AGREE process (1) by the PAR-Q+ Collaboration chaired by Dr. Darren E.R. Warburton with Dr. Norman Gledhill, Dt. Veronica Jamnik, and Dr. Donald C McKenzie (2) Production of this document husbeen made possible through financial contributions from the Public Health Agency of Canada and the BC Ministry of Health Services. The views expressed herein do not necessarily represent theviews of the Public Health Agency of Canada or the BC Ministry of Health Services.

 

Copyright c 20Z2 PAR Q+ Collaboration 4/4