Parq example

1. Physical Activity Readiness Questionnaire (PAR-Q)

Man ealth benefits ae associated i regular exercise, and the completion ofthe PAR Q is sensible fst step 16
{ake f yon are planing to crene the moto pial eserese in yon ie

or most people ysis sett should not pose any problem or hnzad. The PAR-Q is designed to identify the small
uber of ss for whoa physical acia might be inapproprste or tose who shoul seek medical vice
‘Sonesta the ype of activi ost subo fr dem

1. Do you Tave à bone or joan proben Such as ats, Wh
serie or might he made worse ith exercise

3 To sot kuolade, do yo hte high blsod pres?

3, Tu pue longed yr Je low bond pom?

4 Do ya have Diabetes melts e ay oer metal Garde?
5 Mas your doctor ever ad tht you have ried choletrel enn Teel above 62m

Ts Deen amd dy

6. Do yım foe or er allel bet voll
7 Have you ever fk pin in your ches hen you do physical xe?
FR your doctor curently preseribing yu drugs or mica?

The yo eve ler from orme of west at rex or with mil ST
TO Tse any oso of Corona Heat Discs win your fas?

1 Do sen sor fc fi ve spell of dzimos ohne cer lot seine?
TE. Do yon curently drink mere ten ie average anowat of alkohol per week (Tun or
men ad nis for omen (Lut pnt o beer ide lazer or mal lass of vis)

13 Do sou coment sak

14. Do you NOT carn exreise pu er 3 hes pt wc) mor work joo
lat physical demand

TS, Are yon, or there as Po yon mah e pra YES | NO
15. Do yon Know of aay eter reason why you should not panicpai à progmmme of [YES | NO
physic mtv

Ifyou have answered VES to any of tie above please give details

[ew ine ac shen dae so, cot eh Your dots by go oi esc bene wenn your pyc cry and or
Lab ses pee nom your dior of he ese hat om sare "yews the PAR pens PAR Q OP
"Str mai ett sek ie rom or cao Sor si fo

1 anestesia ach nl o ey prog edly. a
2. ato rial ay ts our pe met as ls

you anomered NO quesos:
en eel PARQ loco sa accuses: vu ve escasos of you peel ala fr
1 mudaron woman
2 Aus apra

Thereby state that have read, understood and answered honesty the question above. alo state that 1 wich
o participate in nettes, which may include aerobic exercise, resistance exercise and seichin, I realise
{that my participation i these activities involve the nak of mjur and even the possibly oF desth | hrchy
contin that Tam voluntarily engaging in an acceptable level of exercise, which has been recommended to

‘Cie See Tisha Nas BARS ERRRATTSCHNSON
ee Senne Toner sn

Siam. . Dat