If you are between the ages of 15 and 69, the PAR-Q will tell you if you should check with your doctor before you significantly change you physical activity patterns. If you are over 69 years of age and are not used to being very active, check with your doctor.

Please read each question carefully and answer honestly by indicating YES or NO
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Email *
Do you feel pain in your chest when you do physical activity? *
Required
In the past month, have you had a chest pain when you were not doing physical activity? *
Required
Do you lose balance because of dizziness or do you ever lose consciousness? *
Required
Do you have a bone or joint problem ( for example back, knee or hip) that could be made worse by a change in your physical activity? *
Required
Is your doctor currently prescribing medication for your blood pressure or heart condition? *
Required
Do you know of any other reason why you should not take part in physical activity? *
Required
If you answered YES to the above question please provide further details below
If you answered YES to one or more questions:
You should consult with your doctor to clarify that it is safe for you to become physically active at this current time and in your current state of health.
If you answered NO to any of the questions:
It is reasonably safe for you to participate in physical activity, gradually building up from your current ability level
By Inputting my name below: I have read, understood and accurately completed this questionnaire. I confirm that I am voluntarily engaging in an acceptable level of exercise, and my participation involves a risk of injury *
Today's Date *
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A copy of your responses will be emailed to the address you provided.
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