Health & Fitness Assessment Form

If you marked any of these statements in this section, consult your physician or other appropriate health care provider before engaging in exercise. You may need to use a facility with medically qualified staff.

IF YOU MARKED TWO OR MORE OF THE STATEMENTS IN THIS SECTION you should consult your physician or other appropriate health care provider before engaging in exercise. You might benefit from using a facility with a professionally qualified exercise staff to guide your exercise program.

 IF YOU MARKED NONE OF THE ABOVE you should be able to exercise safely without consulting your physician or other appropriate health care provider in a self-guided program or almost any facility that meets your exercise program needs.

If you are planning to become more physically active than you are now, start by answering 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.

Talk with your doctor by phone or in person BEFORE you start becoming much more physically active or BEFORE you schedule a fitness assessment. Tell your doctor about the PAR-Q and which questions you answered YES.

You may be able to do any activity you want --- as long as you start slowly and build up gradually. Or, you may need to restrict your activities to those which are safe for you. Talk with your doctor about the kinds of activities you wish to participate in and follow his/her advice.

If you answered NO honestly to all PAR-Q questions, you can be reasonably sure that you can:

Start becoming more physically active - begin slowly and build up gradually. This is the safest and easiest way to go.

Take part in a fitness assessment - you will be contacted to set up a FREE fitness assessment with a Certified Personal Trainer at Afterburn Fitness Club.

DELAY BECOMING MORE ACTIVE if you are not feeling well because of a temporary illness such as a cold or a fever - wait until you feel better or if you are or may be pregnant. Talk to your doctor before  starting a new exercise regimen.

PLEASE NOTE: If your health changes so that you then answer YES to any of the about questions, tell your fitness or health professional. Ask whether you should change your physical activity.