Unit 10. Assignment 1. Health screening new clients prior to physical activity participation.
Physical Activity Readiness Questionnaire (PAR-Q)
Regular exercise has many health benefits and completing the PAR-Q is a good place to start if you want
to boost your physical activity.
Physical activity should not be an issue or a hazard for most people. PAR-Q is intended to identify the
small percentage of adults for whom physical activity may be problematic, as well as those who should
seek medical guidance on the type of exercise that is most suited for them.
In answering these questions, common sense is the best guidance. Please read them carefully and, if
applicable, check the correct answer to the question.
1. Do you get chest pain when you engage in physical activity?
2. Do you have any bone or joint problems such as arthritis, which has
been aggravated by exercise or made worse with exercise?
3. To your knowledge, do you have high blood pressure?
4. To your knowledge, do you have low blood pressure?
5. Has your doctor ever said that you have a heart condition and that you
should only do physical activity recommended by a doctor?
6. Do you commonly encounter fainting spells, extreme dizziness, or loss
of consciousness?
7. Have you ever experienced unexplained shortness of breath while at
rest or after a light workout?
8. Do you work out fewer than three times a week?
9. Do you consume more alcohol per week than the average person (21
units for men and 14 units for women)?
10. Do you currently smoke now?
11. Are you pregnant, or do you think there is a possibility that you are
pregnant?
12. Do you know any other reason you should not do physical activity?
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, If you answer:
Yes, to one or more questions:
If you have not done so recently, call or visit our doctor to discuss raising your physical activity
and/or getting a fitness assessment. Tell your doctor the questions on the PAR-Q you answered
"yes" to, or show them or them a copy of the PAR-Q. Following a medical examination, consult
with your doctor to determine your appropriateness for:
Unrestricted physical activity that begins slowly and gradually increases
in intensity
Restricted or supervised activities, at least initially, to fulfil your specific
demands
No to all questions:
If you answer PAR-Q appropriately, you can be assured of your current appropriateness for:
A progressive exercise programme
A fitness evaluation
Risk Assumption
I hereby declare that I have read, comprehended, and answered the questions above
truthfully. I also express my desire to engage in activities such as aerobic exercise,
resistance exercise, and stretching. I am aware that participating in these activities
exposes me to the danger of damage, and possibly death. In addition, I officially confirm
that I am freely participating in an acceptable degree of activity as suggested.
Client’s Name: Trainer’s Name:
Client’s Signature*: Trainer’s Signature:
Date: Date:
Emergency Contact Name: Emergency Contact Name:
Phone Number: Phone Number:
Additional note: I sought medical counsel and my doctor agreed that I should engage in physical
activity
Signature*: Date:
*: To be done by parent or legal guardian if the client is under 18 years of age.
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Physical Activity Readiness Questionnaire (PAR-Q)
Regular exercise has many health benefits and completing the PAR-Q is a good place to start if you want
to boost your physical activity.
Physical activity should not be an issue or a hazard for most people. PAR-Q is intended to identify the
small percentage of adults for whom physical activity may be problematic, as well as those who should
seek medical guidance on the type of exercise that is most suited for them.
In answering these questions, common sense is the best guidance. Please read them carefully and, if
applicable, check the correct answer to the question.
1. Do you get chest pain when you engage in physical activity?
2. Do you have any bone or joint problems such as arthritis, which has
been aggravated by exercise or made worse with exercise?
3. To your knowledge, do you have high blood pressure?
4. To your knowledge, do you have low blood pressure?
5. Has your doctor ever said that you have a heart condition and that you
should only do physical activity recommended by a doctor?
6. Do you commonly encounter fainting spells, extreme dizziness, or loss
of consciousness?
7. Have you ever experienced unexplained shortness of breath while at
rest or after a light workout?
8. Do you work out fewer than three times a week?
9. Do you consume more alcohol per week than the average person (21
units for men and 14 units for women)?
10. Do you currently smoke now?
11. Are you pregnant, or do you think there is a possibility that you are
pregnant?
12. Do you know any other reason you should not do physical activity?
1
, If you answer:
Yes, to one or more questions:
If you have not done so recently, call or visit our doctor to discuss raising your physical activity
and/or getting a fitness assessment. Tell your doctor the questions on the PAR-Q you answered
"yes" to, or show them or them a copy of the PAR-Q. Following a medical examination, consult
with your doctor to determine your appropriateness for:
Unrestricted physical activity that begins slowly and gradually increases
in intensity
Restricted or supervised activities, at least initially, to fulfil your specific
demands
No to all questions:
If you answer PAR-Q appropriately, you can be assured of your current appropriateness for:
A progressive exercise programme
A fitness evaluation
Risk Assumption
I hereby declare that I have read, comprehended, and answered the questions above
truthfully. I also express my desire to engage in activities such as aerobic exercise,
resistance exercise, and stretching. I am aware that participating in these activities
exposes me to the danger of damage, and possibly death. In addition, I officially confirm
that I am freely participating in an acceptable degree of activity as suggested.
Client’s Name: Trainer’s Name:
Client’s Signature*: Trainer’s Signature:
Date: Date:
Emergency Contact Name: Emergency Contact Name:
Phone Number: Phone Number:
Additional note: I sought medical counsel and my doctor agreed that I should engage in physical
activity
Signature*: Date:
*: To be done by parent or legal guardian if the client is under 18 years of age.
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