PARQ - TEE LIVE FITNESS & KINESIOLOGY

Symbol to represent the physical activity readiness questionnaire (PARQ). — Physical activity readiness questionnaire (PARQ) is a health screening tool to check if you are safe and ready to start or increase physical activity.

OVERVIEW

Complete this form online before your first session.

The Physical Activity Readiness Questionnaire PARQ is a standard form required for safety.

The health beneIts of regular physical activity are clear; more people should engage in physical activity every day of the week. Physical activity is safe for MOST people. This questionnaire will tell you whether it is necessary for you to seek further advice from your doctor OR a qualified exercise professional before becoming more physically active.

GENERAL HEALTH QUESTIONS

Read the 7 questions below carefully and answer each one honestly: YES or NO.

Then, near the bottom of the page, enter your full name and CLICK SUBMIT.

PARQ

1. Has your doctor ever said that you have a heart condition or high blood pressure?

2. Do you feel pain in your chest at rest, during your daily activities of living, or when you do physical activity?

3. Do you lose balance because of dizziness or have you lost consciousness in the last 12 months? *Please answer NO if your dizziness was associated with over-breathing (including during vigorous exercise).

4. Have you ever been diagnosed with another chronic medical condition (other than heart disease or high blood pressure)?

If YES, PLEASE LIST CONDITION(S) HERE:

5. Are you currently taking prescribed medications for a chronic medical condition?

If YES, PLEASE LIST CONDITION(S) HERE:

6. Do you currently have (or have had within the past 12 months) a bone, joint, or soft tissue (muscle, ligament, or tendon) problem that could be made worse by becoming more physically active? *Please answer NO if you had a problem in the past, but it does not limit your current ability to be physically active.

If YES, PLEASE LIST CONDITION(S) HERE:

7. Has your doctor ever said that you should only do medically supervised physical activity?

First Name

Last Name