Physical Activity Readiness Questionnaire (PAR-Q)

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.

First name

Last name

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

Do you feel pain in your chest during physical activity?

Yes

In the past month, have you had chest pain when not exercising?

Yes

Do you lose balance because of dizziness or do you ever lose consciousness?

Yes

Do you have a bone or joint problem that could be made worse by exercise?

Yes

Are you currently taking medication for blood pressure or heart conditions?

Yes

Do you know of any other reason why you should not participate in physical activity?

Yes

Do you currently exercise? If yes, what type and how often?

What are your main fitness goals?

Do you have any current injuries or physical limitations?

Confirmation*

I confirm that the information provided is accurate to the best of my knowledge.

I understand that if I answered Yes to any of the above questions, I may need to consult a healthcare professional before starting an exercise program.

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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Physical Activity Readiness Questionnaire (PAR-Q)

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