PAR-Q

Physical Activity Readiness Questionnaire

PAR-Q

Participant Details

PAR-Q

By answering this PAR-Q it will allow you to identify whether you should check with your doctor before you significantly change your physical activity patterns. If you are over 69 years of age and are not used to being physically active, check with your doctor before participating. Please read carefully and answer each one honestly. Common sense is your best guide when answering these questions. Please fill in YES or NO, some answers may require additional details
Please could you provide further details
Please could you provide further details
Please could you provide further details
Please could you provide further details
Please could you provide further details
Please could you provide further details
i.e. How many weeks pregnant
Ensure you include: Condition, Original Onset and Details
Ensure you include: Condition, Original Onset and Details

Heart Health

mmHg
bpm

Declaration

You may need to consult with your Doctor to clarify whether you are safe to become physically active at this current moment in time and in your current state of health. You may need to restrict your activities to those which are safe for you. By signing this form you agree to us contacting your GP to obtain clearance for you to begin a training program.

If you answered no to all questions then you are reasonably safe to participate in physical activity. Start by gradually building up from your current ability level. A fitness assessment can help determine your ability level.

I have read, understood and accurately completed this questionnaire. I can confirm that I am voluntarily engaging in an acceptable level of exercise and my participation involves risk of injury. If I have answered YES to one of the above, we may need to consult with your Doctor to clarify whether you are safe to become physically active at this current moment in time and in your current state of health. We may need to restrict your activities to those which are safe for you. Please note: If your health changes so that you answer YES to any of the above questions, please inform us immediately. It may be recommended that you change your exercise program. By completing this form you give us permission to contact your GP if required.

As an under 18 year old we need the signature of a parent or guardian to complete this form. Please note that in order to provide a safe training environment we require a parent or guardian to be present when there is only one member of staff on shift. Upon arrival please check this with the coach taking the session.