PAR – Q

PHILIPPINE PHYSICAL ACTIVITY READINESS EXAM

(adapted: Bonoan, Bernardo, 2006)

Name:______________________________ Date: _____________

Signature ___________________________ Witness____________
Signature of Parent/ Guardian_____________
NU-PE Department assume no liability for persons who undertake physical activity and if in
doubt after completing the questionnaire, consult your doctor prior to physical activity.
“I have read, understood and completed this questionnaire. Any question I had were
answered to my full satisfaction”

Yes No

1. Has your doctor ever diagnosed you to have a heart condition and O O
that you should only do physical activity recommended by a doctor?
(Sinabihan ka na ba ng doktor mo na ikaw ay may karamdaman sa puso at
ang dapat mo lang gawing pisikal ay ang rekomendado ng doktor?)

2. Is your doctor currently prescribing drugs for your blood pressure or heart O O
condition?
(Kasalukuyan ka bang umiinon ng gamot na inirineseta ng doktor mo para
sa mataas na presyon ng dugo o karamdaman sa puso?)

3. Do you experience pain or discomfort in the chest, neck and jaw area O O
during mild physical activity or at rest?
(Nakakaramdam ka ba ng sakit o karamdaman sa dibdib, leeg o gawing panga
habang gumagawa ng malumanay na gawaing pisikal o kaya nagpapahinga?)
4. Do you experience shortness of breath with mild physical exertion? O O
(Nakakaramdam ka ba ng kahirapan sa paghinga habang gumagawa
ng malumanay na gawaing pisikal)

5. Do you get tired frequently even when not doing physical activity or O O
are you frequently drowsy?
(Madalas ka bang napapagod maski na walang ginagawang pisikal o
madalas ka bang nananamlay?)

6. Have you lost weight rapidly recently with or without feelings of extreme O O
hunger?
(Namayat o nawalan ka ba ng timbang ng sobrang bilis kamakailan, o ng
hindi nakakaramdam ng matinding gutom?

7. Do you have a bone or joint pain that increases with movement? Is there a O O
sudden increase in pain when bending or touching the joint?
(Ikaw ba ay may nararamdaman na sakit sa buto o kasu-kasuan na lumalala
pag gumalaw? May biglang pagtindi ng sakit ba kung binabaluktot o
hinahawakan ang kasu-kasuan?)

8. Do you know of any other reason why you should not do physical activity? O O
(Meron ka bang alam na iba pang dahilan kung bakit hindi ka dapat
gumawa ng kahit ano mang gawaing pisikal?

If you answered YES to any question, please see a health care provider. Thank you.
(Pag may sinagutan kayo ng “YES”, maaari lang magpakita sa isang health care provider. Salamat.)