1) Physical Activity Readiness Questionnaire (PAR-Q)

    If you are between the ages of 15 and 69, this PAR-Q form will tell you if 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 very active, check with your doctor.

    Please read each question carefully and answer honestly by clicking either YES or NO.


    YESNO

    You should consult with your doctor to clarify that it is safe for you to become physically active at this current time and in your current state of health.

    Only sign this form if you have sought medical advice and your GP has agreed that you may exercise.


    YESNO

    You should consult with your doctor to clarify that it is safe for you to become physically active at this current time and in your current state of health.

    Only sign this form if you have sought medical advice and your GP has agreed that you may exercise.


    YESNO

    You should consult with your doctor to clarify that it is safe for you to become physically active at this current time and in your current state of health.

    Only sign this form if you have sought medical advice and your GP has agreed that you may exercise.


    YESNO

    You should consult with your doctor to clarify that it is safe for you to become physically active at this current time and in your current state of health.

    Only sign this form if you have sought medical advice and your GP has agreed that you may exercise.


    YESNO

    You should consult with your doctor to clarify that it is safe for you to become physically active at this current time and in your current state of health.

    Only sign this form if you have sought medical advice and your GP has agreed that you may exercise.


    YESNO

    You should consult with your doctor to clarify that it is safe for you to become physically active at this current time and in your current state of health.

    Only sign this form if you have sought medical advice and your GP has agreed that you may exercise.


    YESNO

    You should consult with your doctor to clarify that it is safe for you to become physically active at this current time and in your current state of health.

    Only sign this form if you have sought medical advice and your GP has agreed that you may exercise.

    You have answered NO to ALL of the questions:

    It is reasonably safe for you to participate in physical activity, gradually building up from your current ability level. A fitness appraisal can help determine your ability levels.

     

    Today's Date: 18 June 2021

    Please sign disclaimer form below (use mouse or finger) and click Send

    I have read, understood and accurately completed this questionnaire. I confirm that I am voluntarily engaging in an acceptable level of exercise, and my participation involves a risk of injury.