2ND SESSION ACTIVITIES

ACTIVITY1: PAR-Q

Data Collection Sheet

Name:Maria Kate S. Antolijao Date: 17/9/2021

Height: 154cm Weight: 42.9kg Age:_15

Read and answer each questions carefully with honesty.

PHYSICAL ACTIVITY READINESS QUESTIONNAIRE (PAR-Q)

(source: National Academy of Sports Medicine)

Questions Yes No
1. Has your doctor ever said that you have a heart /
condition that you should only do physical activities
recommended by a doctor?
2. Do you feel pain in your chest when you perform a /
physical activity?
3. In the past month, have you had chest pain when you /
were not performing any physical activity?
4. Do you lose your balance because of dizziness or do /
you ever lose consciousness while performing physical
activities or not?
5. Do you have a bone or joint problem that could be /
worsened by performing any physical activity?
6. Is your doctor currently prescribing any medication for /
your blood pressure or heart condition?
7. Do you know other reason/s why you should not engage /
in any physical activity?

If you had answered “YES “to one or more of the above questions, consult your doctor
immediately. Seek advice to your doctor on what type of activity is suitable for your
condition.

Note: If you have existing medical illnesses or heart failure, please scan a copy of your
medical certificate signed by your physician to be submitted to your teacher for further
instructions.
Note: One you’re done, save your file and upload your file in silid. Make sure to name your file
with your Family name, First name grade level, section and campus and the name of the
activity. e.g. RICO LUMBAY