2020 Par-Q+
Physical Activity Readiness Questionaire for Everyone
Logg på Google for å lagre fremdriften din. Finn ut mer
Has your doctor ever said you have a heart condition?
Has your doctor ever said you have high blood pressure?
Do you feel pain in your chest at rest, during your daily activities of living, OR when you do physical activity?
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)
Have you ever been diagnosed with another chronic medical condition (other than heart disease or high blood pressure)?
Opphev valget
If answered YES to previous question, please list condition(s) here:
Are you currently taking prescribed medications for a chronic medical condition?  
Opphev valget
If answered YES to previous question, please list condition(s) and medication(s) here:
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)
Opphev valget
If answered "Yes" to previous question, please list condition(s) here:
Has your doctor ever said that you should only do medically supervised physical activity?
Opphev valget
Name
Birthday
DD
.
MM
.
ÅÅÅÅ
Current date
DD
.
MM
.
ÅÅÅÅ
If you answered "no" to all questions, you are cleared for physical activity in accordance with the current 2020 Par-Q+ guidelines.  
If you answered "yes" to any questions, more detailed questions may be sent to you before we can proceed with sessions.
Send
Tøm skjemaet
Send aldri passord via Google Skjemaer.
Dette innholdet er ikke laget eller godkjent av Google. Rapporter uriktig bruk - Vilkår for bruk - Retningslinjer for personvern
Google Skjemaer