Physical Activity Readiness Questionnaire (PAR-Q)

PAR-Q

for Mia’s clubbercise session, This physical activity readiness questionaire included health questions and physical goals. The information from this PAR-Q will help me plan my session to keep my participants safe and happy.
Do you have any health conditions that could stop you from taking part in physical activity?

YesNo
Did the doctor advised you to limit physical activity and only perform the recommended activities by the professional?

YesNo
Is there any chest pain when your doing any physical activity?

YesNo
In the past month, did you experience any pain in the chest area when you're not doing anything?

YesNo
Do you usually lose your balance due to being dizzy or even lose your consciousness?

YesNo
Are you experiencing bone or joint problems that worsens if you take part in physical activity?

YesNo
Do you have a heart condition?

YesNo
Is there any reason why you should not do physical activities? If answered “Yes” please let me know.

YesNo
If you're answer is "NO" to all of the questions above, then you are safe to participate in my clubbercise session.

If you answer "YES" to one or more questions, then you need to consult your doctor to clarify if you're capable of doing this session and get an all clear from them.
Personal Information
Name

First NameLast Name
Age
What are your fitness goals and what is your fitness aim to take away from this Clubberside session?
What are you expecting from me?
Should be Empty:

PAR-Q