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    Par Q 1

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    alliyahuy14

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    Par Q 1

    Uploaded by

    alliyahuy14
    2 views2 pages

    Original Title

    PAR-Q-1

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    Download as docx, pdf, or txt
    2 views2 pages

    Par Q 1

    Uploaded by

    alliyahuy14

    Copyright:

    © All Rights Reserved
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    Download as docx, pdf, or txt
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    1 Have you ever been diagnosed with a heart condition with advice from a

    doctor that you should only do physical activity recommended by them?

    2 Have you ever felt pain in your chest whilst you were physically active?

    3 Have you ever felt chest pain whilst you were at rest?

    4 Do you ever feel faint or have dizzy spells?

    5 Do you have a joint problem that could be made worse by exercise?

    6 Have you ever been diagnosed with high blood pressure?

    7 Are you currently pregnant or have you had a baby in the last six months?

    8 Are you currently taking any medication or have any medical conditions that
    the instructor should be made aware of? If yes, please provide details:

    1. PHYSICAL ACTIVITY READINESSQUESTIONNAIRE (PAR-Q)


    The questionnaire will indicate whether you should check with your doctor before you start a
    programme of physical activity. If you are over 69 years of age and you are not used to being very active
    you should certainly check with your doctor. We will treat all information confidentially.

    Yes No

    If you have answered yes to one or more questions


    Talk to your doctor by phone or in person before participating in physical activity. Tell your
    doctor about the question(s) you have answered yes to. You may still be able to do any activity
    you want - as long as you begin slowly and build up gradually- or you may need to limit your
    activities to those which are safe for you. Talk with your doctor about the kind of activity you
    wish to participate in and follow their advice.
    If you have answered no to all questions
    You can be reasonably confident that you can start to increase your physical activity and take
    part in a progressive exercise programme. Remember - begin slowly and build up gradually.
    Your privacy
    Why do we collect this information from you? We use the information here to assess your ability
    to take part in a programme of physical activity.
    I have read, understood and completed this questionnaire. All questions have been answered to
    the best of my knowledge. I confirm I have completed a gym induction

    Name:____________________________________ Signature:________________________
    Date: ________________________________

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