Physical Activity Health Questionnaire

If you’re aged 15-69, the PAR-Q will tell you if you should check with your doctor before significantly changing your physical activity patterns. If you’re over 69 years and aren’t used to being very active, check with your doctor. Please read each question carefully and answer honestly by ticking YES/NO


Health Declaration

Please fill out the following form
in order to participate in our activity.

Has your doctor ever said you have a heart condition and that you should only do physical activity recommended by a doctor? Or is your doctor currently prescribing medicaion for your blood presurre or a heart condition?
Do you feel pain in your chest when you do or do not do physical activity? or Do you witness dizziness or loss of consciousness?
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?

If you answered YES to one or more questions: You should consult with your doctor to clarify that it’s safe for you to become physically active at the current time.

If you answered NO to ALL of the questions: It is reasonably safe for you to participate in physical activity, gradually building up from your current ability level.

Thanks for submitting!