UNIVERSITY OF SANTO TOMAS

FACULTY OF ENGINEERING
A.Y. 2019 – 2020, 1st Term
STUDENTS PROFILE

CN: NAME: MIRANDA, JON THOMAS ANDRE C. Course: PATH-FIT

Course: MECHANICAL ENGINEERING

Yr./Sec.: 1-9 ENG
Email Add:
Contact No.: 0949594445
Jonthomas.miranda.eng@ust.edu.ph
Insert Address:
2x2 17 Montemayor st. SFDM, Quezon City
Picture
In Case of Emergency:
here
Parent/ Guardians Name:
Contact No.: 093232744977
Aimee C. Miranda
Class Adviser:
Contact No.:
Eriberto Rivera
Student No.: 2019129024

Physical Activity Readiness Questionnaire (PAR-Q)

YES NO 1 Has your doctor ever said you have heart trouble?
YES NO 2 Do you frequently have pains in your heart and chest?
YES NO 3 Do you often feel faint or have spells of severe dizziness?
YES NO 4 Has a doctor ever said your blood pressure was too high?
5. Has a doctor ever told you that you have a bone or joint problem such as arthritis that has been
YES NO
aggravated by exercise, or might be made worse with exercise?
6. Is there a good physical reason not mentioned here why you should not follow an activity program
YES NO
even if you wanted to?
YES NO 7 Are you not accustomed to vigorous exercise?
8. Are you currently prescribed or taking over the counter medications that will affect your heart rate
YES NO
and/or blood pressure?
* Supply information for the questions that you answered yes