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Physical Activity Readiness Questionnaire (PAR-Q)

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Online Fitness Blueprint – Mind & Body Blueprint

Before beginning any training program, please answer the following questions honestly. This helps ensure the program is safe and suitable for you.

Birthday
Day
Month
Year
Has a doctor ever told you that you have a heart condition and that you should only perform physical activity recommended by a doctor?
Yes
No
Do you feel pain in your chest during physical activity?
Yes
No
In the past month, have you had chest pain when not exercising?
Yes
No
Do you lose balance because of dizziness or do you ever lose consciousness?
Yes
No
Do you have a bone or joint problem that could be made worse by exercise?
Yes
No
Are you currently taking medication for blood pressure or heart conditions?
Yes
No
Do you know of any other reason why you should not participate in physical activity?
Yes
No
Confirmation
Disclaimer
I understand that participation in fitness training involves physical activity and carries inherent risks. I agree to participate voluntarily and take responsibility for my own health and wellbeing.
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