Physical Activity Readiness Questionnaire (PAR-Q)

Physical Activity Readiness Questionnaire (PAR-Q)
Do you have a heart condition or cardiovascular disorder?
Did a doctor advise you to avoid specific physical activity?
Is there any chest pain when your doing any physical activity?
In the past month, did you experience any pain in the chest area when you're not doing anything?
Do you usually lose your balance due to being dizzy or even lose your consciousness?
Do you have a bone or jointproblem that could be made worse by becoming more physically active? Please answer NO if you had a joint problem in the past, but it does not limit your current ability to be physically active. For example, knee, ankle,shoulder or other.
Are you currently taking medication for blood pressure or a heart condition?
Is there any reason why you should not participate in Pilates?
If you're answer is "NO" to all of the questions above, then you are safe to participate in physical activities.

If you answer "YES" to one or more questions, then you need to consult your doctor to clarify if you're capable of doing physical activities on your current state.
Personal Information
Name

First NameSurname
Gender
Age
Date of Birth

DayMonthYear
Date
Contact Number
Please enter a valid phone number.Format: 00000000000.
Email
example@example.com
Address

Street Address

Street Address Line 2

City/Town/VillageCounty

Postcode
Emergency Contact Person

First NameLast Name
Emergency Contact Person No.
Please enter a valid phone number.Format: 00000000000.
What are your fitness goals?
Should be Empty:

Physical Activity Readiness Questionnaire (PAR-Q)

Personal Information