Physical Activity Readiness Questionnaire (PAR-Q) Physical Activity Readiness Questionnaire (PAR-Q)Please read each question carefully and tick YES or NO. If you answer YES to any question, you may be asked to seek medical advice before participating in exercise.1. Has your doctor ever said that you have a heart condition or that you should only do physical activity recommended by a doctor? Yes NoPlease give details2. Do you feel pain in your chest when you do physical activity? Yes NoPlease give details3. In the past month, have you had chest pain when not doing physical activity? Yes NoPlease give details4. Do you lose balance because of dizziness or do you ever lose consciousness? Yes NoPlease give details5. Do you have a bone or joint problem (for example back, knee, hip, shoulder) that could be made worse by physical activity? Yes NoPlease give details6. Is your doctor currently prescribing medication for blood pressure or a heart condition? Yes NoPlease give details7. Do you have diabetes, asthma, epilepsy, or any other long-term medical condition that may affect your ability to exercise safely? Yes NoPlease give details8. Have you had recent surgery or are you currently recovering from injury? Yes NoPlease give details9. Are you currently pregnant or have you given birth within the last 6 months? Yes NoPlease give details10. Do you know of any other reason why you should not take part in physical activity? Yes NoPlease give detailsPhysical Activity ExperienceHow would you describe your current activity level? Beginner (little or no regular exercise) Occasionally active Regularly activeDo you have any injuries, limitations, or areas of concern? Yes NoPlease give detailsWhat are your fitness goals? Please tick all that apply Fat loss Weight gain Increase strength Mobility/moving without discomfort Improve balance Improve fitness and healthy lifestyle habits Mental and emotional wellbeing Better sleep and more energy OtherPlease specify:Participant Declaration I confirm that the information provided above is accurate and complete to the best of my knowledge. I understand that I am responsible for informing the coaches of any changes to my health that may affect my participation in exercise.I understand that by typing my full name below, I am electronically signing this form and confirm that the information provided is accurate to the best of my knowledge.EmailDateSubmit Form
