PAR-Q & You

 

Physical Activity Readiness Questionnaire

Regular physical activity is fun and healthy, and increasingly more people are starting to become more active. Being more active is very safe for most people. However, some people should check with their doctor before they start becoming more physically active. If you are planning to become more physically active than you currently are, answer the seven questions below. If you are between the ages of 15 and 69, the PAR-Q will tell you if should check with your doctor before you start. If you are over 69 years of age, and are planning to increase your activity level, check with your doctor before starting. Common sense is your best guide when answering these questions. Please read them carefully and answer each one honestly, checking YES or NO.

YES   NO

r    r     1. Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by your doctor?

r    r     2. Do you feel pain in your chest when you do physical activity?

r    r     3. In the past month, have you had chest pain when you were not doing physical activity.

r    r     4. Do you lose balance because of dizziness or do you ever lose consciousness?

r    r     5. Do you have a bone or joint problem that could be made worse by a change in your physical activity?

r    r     6. Is your doctor currently prescribing drugs (example: water pills) for your blood pressure or heart condition?

r    r     7. Do you know of any other reason why you should not do physical activity?

If you answered YES to one or more questions - Speak with your doctor about the kinds of activities you wish to participate in, and any guidelines they recommend prior to increasing your activity level or having a fitness appraisal.

If you answered NO to all questions - You can be reasonably sure that you can start gradually increasing your activity level. Sign up for a fitness appraisal to determine your current fitness level and help you set your personal health and fitness goals.

Participant Consent Agreement

I, the undersigned, hereby certify that I have no knowledge of any physical disability which would make participation in any City of Mississauga Fitness Centres or program hazardous to my health. I understand that certain risks of injury may occur while participating in any City of Mississauga Fitness Centres or programs, such as sprains, strains and other health risks. I consider myself physically able to participate and by continuing my participation, I will assume those risks and results. I have read, understood and completed this questionnaire.

Name: Signature:

 

 

Guardian (if under 18): Date:

 

 

Witness:

 

 

 

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