PHYSICAL ACTIVITY READINESS QUESTIONNAIRE (PAR-Q)

Please read over the following list of questions before calling for an appointment. 

1.  Do you have a heart condition?

2.  Have you ever experienced a stroke?

3.  Do you have epilepsy?

4.  Are you pregnant?

5.  Do you have diabetes?

6.  Do you have emphysema?

7.  Do you feel pain in your chest when you engage in physical activity?

8.  Do you have chronic bronchitis?

9.  In the past month, have you had chest pain when you were NOT participating in exercise?

10. Do you ever lose consciousness or do you ever lose your balance due to dizziness?

11. Are you currently being treated for a bone or joint problem that restricts you from engaging in physical activity?

12. Do you have high or low blood pressure?

13. Has anyone in your immediate family had a heart attack, stroke or cardiovascular disease before age 55?

14. Do you have high cholesterol?

15. Do you smoke?

16. Are you a male over the age of 40?

17. Are you a female over the age of 50?

If you answered YES to 2 or more of these questions, a physician's clearance is required before you may participate in the Fitness Assessment or Personal Training programs.

Click here to download form.

 For any questions or concerns, please ask a fitness center consultant or contact Amy Price, Fitness Programming Coordinator at ext. 5425.