Physical Activity Readiness Questionnaire (PAR-Q)

The PAR-Q helps us understand your current health and fitness level to ensure any training you do is safe and suitable for you. Please answer all questions honestly. Your information is confidential.

Instructions:

Answer all questions with “Yes” or “No.”
If you answer “Yes” to any question, please provide details in the space provided.
This form must be completed before starting any training sessions.

Has your doctor ever said you have a heart condition or that you should only do physical activity recommended by a doctor?

Yes

No

Do you feel chest pain when you do physical activity?

Yes

No

In the past month, have you had chest pain when not performing physical activity?

Yes

No

Do you lose balance because of dizziness or do you ever lose consciousness?

Yes

No

Do you have a bone or joint problem that could be made worse by physical activity?

Yes

No

Is your doctor currently prescribing medication for your blood pressure or heart condition?

Yes

No

Do you have any other medical conditions or injuries that we should know about before training?

Yes

No

Are you pregnant or have you been pregnant in the past six months?

Yes

No

Please provide details for any “Yes” answers:

Declaration:

I have answered all questions honestly and understand that it is my responsibility to inform my trainer of any changes in my health.

First name

Last name

Birthday

Day

Month

Year