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Physical Activity Readiness Questionnaire

The Physical Activity Readiness Questionnaire (PAR-Q) is a form designed to assess an individual's readiness for physical activity based on their health history. It contains a series of yes/no questions regarding health issues, such as heart conditions and joint problems. If any questions are answered with 'YES', the individual is advised to consult with a doctor before engaging in physical activities.

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beduyagraciella
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99 views1 page

Physical Activity Readiness Questionnaire

The Physical Activity Readiness Questionnaire (PAR-Q) is a form designed to assess an individual's readiness for physical activity based on their health history. It contains a series of yes/no questions regarding health issues, such as heart conditions and joint problems. If any questions are answered with 'YES', the individual is advised to consult with a doctor before engaging in physical activities.

Uploaded by

beduyagraciella
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Physical Activity Readiness Questionnaire

(PAR-Q)
Name: ____________________________________________ Gender: ______________________
Date of birth: ____________________ Age: ___________ Course-Section: ______________

Instructions

Please read the questions carefully and answer each one honestly: check YES or NO.

Questions Yes No

1. Do you have any health problem history?

2. Has your doctor ever said that you have a heart


condition and that you should only do physical activity
recommended by a doctor?

3. Do you feel pain in your chest when you do physical


activity?

4. In the past month, have you had chest pain when you
were not doing physical activity?

5. Do you lose your balance because of dizziness or do


you ever lose consciousness?

6. Do you have a bone or joint problem (for example,


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

7. Is your doctor currently prescribing drugs (for example,


water pills) for your blood pressure or heart condition?

8. Do you know of any other reason why you should not


do physical activity?
If you answered YES to one or more questions:
Talk with your parents/Guardian and doctor by phone or in person BEFORE you start doing physical activity.
Tell your doctor about the PAR-Q and which questions you answered YES.

“I have read, understood and completed this questionnaire. Any questions I had were answered to my full
satisfaction.”

_______________________________________ _______________________________________
Signature over printed name Signature over printed name
(Student) (Parent/Guardian)

_______________________________________
Date

Reference: https://www.carepatron.com/templates/physical-activity-readiness-questionnaire-par-q

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