Sporting Force - Physical Activity Readiness Questionnaire (PARQ)

A PARQ is designed to help you help yourself. Many health benefits are associated with regular exercise, and the completion of a PARQ is a sensible first step to take if you are planning to increase the amount of physical activity in your life.

 

For most people, physical activity should not pose and problems or hazard. The PARQ has been designed to identify the small number of adults for whom physical activity might be inappropriate or those who should have medical advice concerning the type of activity most suitable for them.

 

Common sense is your best guide in answering these few questions.  Please read them carefully and check YES or NO opposite the question that applies to you.  If yes, please explain.

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* 1. Contact Info 

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* 2. Would you like to register for the next program January 2022

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* 3. Has a doctor ever said that you have a heart condition (such as coronary heart disease) and that you should only do physical activity that is recommended by a doctor?

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* 4. Do you frequently have pains in your heart and chest?

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* 5. Do you often feel faint or have spells of severe dizziness?

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* 6. Has your doctor ever said your blood pressure was too high?

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* 7. If you answered Yes and you know the latest reading please enter

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* 8. Has your doctor ever told you that you have a bone or joint problem(s), such as arthritis that has been aggravated by exercise or made worse with exercise?

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* 9. Is there a good physical reason, not mentioned here, why you should not follow an activity program even if you wanted to?

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* 10. Are you currently pregnant or post-partum (post-natal)?

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* 11. Do you suffer from any problems of the lower back, i.e., chronic pain, numbness?

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* 12. Are you currently taking any medications?  Please provide the names of your medication if appropriate. 

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* 13. Do you suffer from epilepsy or diabetes?

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* 14. If you have diabetes - is it insulin controlled, metformin or diet controlled. 

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* 15. Do you know of any other reason why you should not participate in physical activities?

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* 16. If you have answered YES to any of the above questions, then please specify any additional information that we may need to know here:

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* 17. If you have answered NO to all the questions above, it gives a general indication that you may participate in physical and aerobic fitness activities.  The fact that you answered NO to the above question, is no guarantee that you will have a normal response to exercise.  If you answered YES to any of the above questions, then you may need written permission from your health provider before participating in physical and aerobic fitness activity. Please indicate if you will be requesting permission from your health provider.

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* 18. Thank you to our funders 

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