Physical Activity Readiness Questionnaire

(PAR-Q)

The Physical Activity Readiness Questionnaire (PAR-Q) is a common method

of uncovering health and lifestyle issues prior to an exercise program starting. The
questionnaire is short and easy to administer and reveals any family history of illness. If
the PAR-Q reveals an issue it is advisable for you to seek a doctor's advice through a
process called the GP referral.

Personal trainers or P.E. teachers often use the PAR-Q to identify any reasons
why their students shouldn't start a course of physical exercise. A PAR-Q highlights any
medical conditions or physical inabilities that a student may need to speak to their
teachers about and that the teachers may need to consider during training. From a liability
point of view, the PAR-Q reduces the risk of client injury, illness, and even accident.

Why do you need to complete a PAR-Q?

It is advised that each personal trainer or P.E. teacher should produce their PAR -
Q relating to the type of activity they provide and a set of guidelines stating what action
should be taken if a person gives a 'negative' response PAR-Q. This might include
advising the person to speak to their teachers or adapting the exercise plan to incorporate
their specific requirements. In extreme cases, teachers may have to deny a person to
continue the activity to prevent client injury or incident.

For example, if someone failed to ask the person to complete a PAR-Q and suffer
an injury due to a previous condition or troublesome body part, problems could ensue.
Teachers could be blamed for asking a student to undertake an activity that they were not
physically able to do so. This may be seen as negligence on the teacher's part.

Regular physical activity is fun and healthy, and increasingly more people are
starting to become more active every day. Being more active is very safe for most people.
However, some people should check with their doctor before they start becoming much
more physically active. If you are planning to become more physically than you are now,
start by answering the seven questions in the box below.

Common sense is your best guide when you answer these questions. Please
read questions carefully and answer each one honestly: check YES or NO.
 PAR-Q
Physical Activity Readiness Screening Form

Student Information:
Date: December 07, 2023

Name: Alexandra Thea A. Cael

Course and Section: PE023-A331

Instructor: Ms. Charisa Jane Lancian

Emergency Contact Details:

Name: Rommel T. Cael

Contact No: 09069762501

Relationship: Father

The health benefits of regular physical activity are clear; more people should engage
in physical activity every day of the week. Participating in physical activity is very safe
for MOST people. This questionnaire will tell you whether it is necessary for you to
seek further advice from your doctor or your teacher before becoming more physically
active.

Instruction: Please read the questions carefully and answer

each one honestly: Check YES or NO
YES NO
NOTE: For students with medical issues, a medical
certificate from your doctor or from the school clinic
should be attached.

Has your doctor ever said that you have a heart condition or
high blood pressure?

Do you feel pain in your chest at rest, during your daily

activities of living, or when you do physical activity?
Do you lose balance because of dizziness, or have you lost
consciousness in the last 12 months?

Note: Please answer NO if your dizziness was associated

with over-breathing (including during vigorous exercise)

Have you ever been diagnosed with another chronic medical

condition (other than heart disease or high blood pressure)?

PLEASE LIST CONDITIONS(S) HERE:

Do you have a bone or joint problem (for example back, neck,

knee, or hip) that could be made worse by a change in your
physical activity?

Do you have asthma or respiratory problem?

Do you have epilepsy?

Do you know of any other reason why you should not do

physical activity?

Explain:
_________________________________________________
_ _

If you answered YES to one or more NO to all questions

questions
Go to school clinic and talk with the doctor If you answered NO honestly to all PAR-Q
before you start becoming more questions, you can be reasonable sure
physically active or before you have a that you can:
fitness appraisal. Tell the doctor about the • Start becoming much more physically
PAR-Q and which questions you active – begin slowly and build up
answered YES. gradually. This is the safest and
• You may be able to do any activity you easiest way to go.
want – as long as you start slowly and
• Take part in a fitness appraisal – this is
build up gradually. Or you may need
an excellent way to determine your
to restrict your activities to those that
basic fitness so that you can plan the
are safe for you. Talk with the doctor
best way for you to live actively. It is
about the kinds of activities you wish
also highly recommended that you
to participate in and follow his or her
have your blood pressure evaluated. If
advice.
your reading is over 144/94, talk with
Find out which physical activity program your doctor before you start becoming
are safe and helpful for you. much more physically active.

Delay becoming much more active:

• If you are not feeling well because
of a temporary illness such as a
cold or fever – wait until you feel
better; or
• If you are or may be pregnant –
talk your doctor before you start
becoming more active.

Please note: If your health changes so

that you then answer YES to any above
questions, tell your teacher. Ask whether
you should change your physical activity
plan.