Physical Activity Readiness Questionnaire

Regular physical activity is fun and healthy, and increasingly more people are starting to become more active every day. 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 much more physically active than you are now, start by answering the seven questions in the box 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. If you are over 69 years of age, and you are not used to being very active, check with your doctor.

Common sense is your best guide when you answer these questions. Please read the questions carefully and answer each one honestly: check YES or NO.

Name *
Date Of Birth *
Date Of Birth
Has your doctor ever said that you have a heart condition AND that you should only do physical activity recommended by a doctor? *
Do you feel pain in your chest when you do physical activity *
In the past month, have you had chest pain when you were not doing physical activity *
Do you ever lose balance because of dizziness, or do you ever lose consciousness? *
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? *
Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition? *
Do you know of ANY OTHER REASON why you should not do physical activity? *
I have read, understood and completed this questionnaire. Any questions I had were answered to my full satisfaction.
Today's Date *
Today's Date

If you answered;

YES to one or more questions… Talk with your doctor by phone or in person BEFORE you start becoming more physically active or BEFORE you have a fitness appraisal. Tell your doctor about the PAR-Q and which questions you answered YES.
•    You may be able to do any physical activity you want – as long as you start slowly and build up gradually. Or, you may need to restrict your activities to those which are safe for you. Talk with your doctor about the kinds of activities you wish to participate in and follow his/her advice.
•    You will receive a 'medical clearance' for from OneTwoThrive for your doctor to sign off on before you begin a physical activity regimen.

NO to all questions… If you answered NO honestly to all PAR-Q questions, you can be reasonably sure that you can:
•    Start becoming much more physically active – begin slowly and build up gradually. This is the safest and easiest way to go.
•    Take part in a fitness appraisal – this is an excellent way to determine your basic fitness so that you can plan the best way for you to live actively. It is also highly recommended that you have your blood pressure evaluated. If your reading is over 144/94, talk with your doctor before you start becoming much more physically active.

•    If you are not feeling well because of a temporary illness such as a cold or a fever – wait until you are better; or
•    If you are or may be pregnant – talk with your doctor, talk with your doctor before you start becoming more active.

PLEASE NOTE: If your health changes so that you then answer YES to any of the above questions, tell your fitness or health professional. Ask whether you should change your physical activity plan.

NOTE: If the PAR-Q is being given to a person before he or she participates in a physical activity program or a fitness appraisal, this section may be used for legal or administrative purposes.

MINORS: If an individual is under 18 years of age a parent/guardian is required to confirm all data collected is correct and that they give permission for the above named individual to engage in services from OneTwoThrive, in these cases a consent form will be provided.

FINALLY: Any individual answering YES to one or more of the above questions, or being over 70 years of age will be provided with a medical clearance form to have signed by their doctor prior to beginning an physical activity with OneTwoThrive.