parq

Physical Activity Readiness Questionnaire (PAR-Q)

(A Questionnaire for People Aged 15 to 69)

Regular physical activity is fun and healthy. Being more active is very safe for most people. However, some people should check with their doctor before they start becoming much more physically active.

If you are planning to become much more physically active than you are now, start by answering the seven questions below. If you are between the ages of 15 and 69, the PAR-Q will tell you if you should check with your doctor before you start.

Please read the questions carefully and answer each one honestly: check YES or NO.

1. Questions

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

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

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

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

5. Do you have a bone or joint problem (for example, back, knee or hip) that could be made worse by a change in your physical activity?
YesNo

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

7. Do you know of ANY OTHER REASON why you should not do physical activity?
YesNo

IMPORTANT: You answered YES

Talk to your doctor BEFORE you become much more physically active.

Tell your doctor about the PAR-Q and which questions you answered YES. You may be able to do any activity you want as long as you start slowly, or you may need to restrict your activities.

You answered NO to all questions

You can be reasonably sure that you can start becoming much more physically active. Begin slowly and build up gradually.

2. Participant Details

Full Name

Email Address

Date of Birth

Phone (Optional)

Parent/Guardian Name (If under 18)

"I have read, understood and completed this questionnaire. Any questions I had were answered to my full satisfaction."

Electronic Agreement: By checking this box, I confirm that the information provided is accurate. This clearance is valid for a maximum of 12 months from today unless my condition changes. This action serves as my electronic signature.

Better People for Horses, Better Horses For People.

Scroll to Top