Physical Activity Readiness Questionnaire

Completion Guidance

  • 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 your physical activity patterns. If you are over 69 years of age and are not being very active, check with your doctor straight away. Common sense is your best guide when answering these questions. 
  • Please read carefully and answer each one honestly: 
  • Select either YES or NO.
  • If you answer YES to ONE or MORE questions please provide further information in the free text section below each question
  • If you answer YES to ONE or MORE questions you should consult your Doctor prior to attending the online physical activity sessions provided, AND the coach reserves the right to decline participation for health and safety reasons OR request a letter from your Doctor providing medical clearance for you to safely undertake physical activity.

Purpose for collecting the information: Health and Safety AND Insurance purposes ONLY

Data storage: Responses shared will be stored on an encrypted and password protected file accessible only to the account holder Sisu Personal Training


Email *
Name of Participant *
Date of completed *
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1. Has your Doctor ever said you have a heart condition and that you should only do physical activity recommended by a Doctor?

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2. Do you feel pain in your chest when you do physical activity?

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3. In the past month, have you had chest pain when you were not doing physical activity?

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4. Do you lose balance because of dizziness and/or do you ever lose consciousness?

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5. 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?

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6. Is your Doctor currently prescribing you medication for your blood pressure or a heart condition?

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7. Do you suffer from breathlessness after slight exertion?

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8. Are you pregnant or is there a possibility that you may be?

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9. Are you taking regular medication for diabetes, epilepsy or any other condition or illness?

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10. Do you know of any other reason why you should not do any physical activity?

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If you answered YES to one or more of the above questions please provide details below (please indicate the number of the questions). 

The email you have provided may be used to contact you to obtain further information OR to request provision of a medical clearance certificate from your Doctor. 

If you answered NO to all questions please comment with not applicable below

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