Physical Activity Readiness Questionnaire (PAR-Q)

  • Physical Activity Readiness Questionnaire (PAR-Q)

  • Part 1. Basic information

  • Regular physical activity is fun and healthy, and increasingly more people are starting to become more active every day. Being more active is safe for most people. However, some people should check with their doctor before they start becoming more physically active.  If you are planning to become more physically active than you are now, start by answering the 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 answering these questions. Please read the questions carefully and answer each one honestly: Check YES or NO.

  • Part 2. Lifestyle Information

  • Part 3. Medical and Health Information

  • Part 4. Goals

  • Rows

  • Please Read The Following Terms and Conditions

  • 1.) CANCELLATIONS

    Cancellations should be made at least 24 hours in advance of a scheduled session. Sessions cancelled less than 24 hours in advance will be charged in full to the client.

     

    2.) LATE ARRIVALS

    Each session will last 1 hour. Sessions will not be extended (unless time is available) due to the lateness of the client or due to interruptions caused by the client.

     

    3.) ALL THE INFORMATION I HAVE GIVEN IS CORRECT

    All the information on this form is correct and to the best of my knowledge. I have sought and followed any necessary medical advice. I understand that all the information given will be kept confidential.

     

  • PLEASE NOTE:

    - If you are not feeling well because of a temporary illness such as a cold or a fever, wait until you feel better. - If you are or may be pregnant, talk to your doctor before you start becoming more active. - If your health changes so that you then answer YES to any of the above questions, tell your fitness or health professional. Ask whether you should change your physical activity plan. - NO CHANGES ARE PERMITTED TO THIS FORM AFTER SUBMISSION.
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