YES To One or More Questions: If You Answere D
YES To One or More Questions: If You Answere D
YES To One or More Questions: If You Answere D
Readiness
Questionnaire - PAR-
Q (revised 2002)
answere appraisal. Tell your doctor about the PAR-Q and which questions you answered YES.
• You may be able to do any activity you want — as long as you start slowly and build up gradually. Or, you may need to restrict your
activities to those which are safe for you. Talk with your doctor about the kinds of activities you wish to participate in and follow
d his/her advice.
• Find out which community programs are safe and helpful for you
Informed Use of the PAR-Q: The Canadian Society for Exercise Physiology, Health Canada, and their agents assume no liability for persons who undertake physical
activity, and if in doubt after completing this questionnaire, consult your doctor prior to physical activity.
No changes permitted. You are encouraged to photocopy the PAR-Q but only if you use the entire form.
NOTE: If the PAR-Q is being given to a person before he or she participates in a physical activity program or a fitness appraisal, this section may be used for legal or
administrative purposes.
"I have read, understood and completed this questionnaire. Any questions I had were answered to my full satisfaction."
NAME
SIGNATURE DATE
SIGNATURE OF PARENT
or GUARDIAN (for participants under the age of majority)