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Fitness and Physical Assessment

Instruction: Do the following fitness and physical activity assessments before starting any fitness
and physical activities. Answer and fill up the questionnaires which can be found in the
Appendices.

A. Physical Activity Readiness Questionnaire (PAR-Q)

The PAR-Q is a simple self-screening tool that can and should be used by
anyone who is planning to start an exercise program and make it stick. The
questions on the PAR-Q aim to uncover heart, circulatory, balance, medical,
emotional, and joint problems that could make exercise difficult, or even dangerous,
for some people. All the questions are designed to help uncover any potential health
risks associated with exercise.

PHYSICAL ACTIVITY READINESS QUESTIONNAIRE (PAR-Q)

Name: _Fiel J. Florendo________ Date: ______________

Age: _20__ Height: __165_ (meter) Weight: ___43___ (kg.) BMI: _______

Questions: (underline your answers)

Yes No 1. Has your doctor ever said that you have a heart condition and that you
should only perform physical activity recommended by a doctor?

Yes No 2. Do you feel pain in your chest when you perform physical activity?

Yes No 3. In the past month, have you had chest pain when you were not
performing
any physical activity?

Yes No 4. Do you lose your balance because of dizziness or do you ever lose
consciousness?

Yes No 5. Do you have a bone or joint problem that could be made worse by a
change in your physical activity?

Yes No 6. Is your doctor currently prescribing any medication for your blood pressure
or for a heart condition?

Yes No 7. Do you know of any other reason why you should not engage in physical
activity?

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 If you have answered “Yes” to one or more of the above questions, consult your
physician before engaging in physical activity.
 Tell your physician which questions you answered “Yes” to.
 After a medical evaluation, seek advice from your physician on what type of
activity is suitable for your current condition.
 If you answered “NO” to all PAR-Q questions, you can be reasonably sure that
you can exercise safely and have a low risk of having any medical complications
from exercise. It is still important to start slowly and increase gradually. It may
also be helpful to have a fitness assessment with a personal trainer or coach in
order to determine where to begin.

I hereby certify that the above information given are true and correct as to the
best of my knowledge. In case any of the above information is found to be false, or
untrue or misleading or misrepresenting, I am aware that I may be held liable for it.

________Fiel Florendo___________
Printed Name and Signature of Student

B. Gross Physical Assessment

Gross Physical Assessment is used to identify people with physical

conditions that may put them at a higher risk of experiencing a health problem during
physical activity. It is a filter or ‘safety net’ to help decide if the potential benefits of
exercise outweigh the risks for you. 
Direction: Do this assessment with a partner. Turn your back for measurement. A
meter stick will be used for this test. Encircle the answer after a thorough observation

A. Shoulder Level
Right Shoulder Elevated Depressed Level
Left Shoulder Elevated Depressed Level
B. Pelvic Level
Right Pelvis Higher Lower Level

Left Pelvis Higher Lower Level

C. Knee Level
Right Knee Higher Lower Level

Left Knee Higher Lower Level

D. Ankle Level
Right Ankle Higher Lower Level

Left Ankle Higher Lower Level

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E. Feet
Right Foot Inverted Everted Level

Left Foot Inverted Everted Level

Direction: Observe from the side and encircle the answer after a thorough observation.

Neck Protruded Hyperextended Level

Shoulder Protracted Retracted Neutral

Back Kyphotic Lordotic Scoliotic

Pelvis R turned in L turned in Level

Knee Hyperextended Level

PATH FIT 1 – Movement Enhancement