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Physical Activity Readiness Questionnaire (PAR-Q)
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Has your doctor ever said that you have a heart condition and that you should only perform physical activity recommended by a doctor?
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Do you feel pain in your chest when you perform physical activity?
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Do you lose your balance because of dizziness or do you ever lose consciousness?
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Do you have a bone or joint problem that could be made worse by a change in your physical activity?
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Is your doctor currently prescribing any medication for your blood pressure or for a heart condition?
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Do you know of ANY other reason why you should not engage in physical activity?
**If you have answered “yes” to one or more of the above questions, consult your physician before engaging in physical activity. Tell your phu7sician which question you answered “yes” to. After a medical evaluation, seek advice from your physician on what type of activity is suitable for your current condition.
Terms of Use & Privacy Policy
Informed Consent
By signing this document, I acknowledge that I have voluntarily chosen to participate in a program of progressive physical exercise that can enhance the musculoskeletal and cardiorespiratory systems. In signing this document, I acknowledge being informed of the possible physiological results including, but not limited to, abnormal blood pressure, fainting, heart attack or death. By signing this document, I assume all risk for my health and well-being and hold harmless of any responsibility, the instructor, facility or any persons involved with this program and testing procedures. I understand that questions about exercise procedures and recommendations are encouraged and welcomed.
Physician Approval Waiver
With your consent on these documents, I acknowledge that I have been informed of the need to obtain a physician’s examination and approval prior to beginning this exercise program. I fully understand that the program may be strenuous and choose o participate completely voluntarily. I accept all responsibility for my health and any resultant injury or mishap that may affect my well-being or health in any way. I hold harmless of any responsibility, the instructor, facility or any persons involved with his program or testing procedure.
