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Medical Screen

The Physical Activity Readiness Questionnaire (PAR-Q) assesses whether you are healthy enough to exercise.  Please read carefully and answer the questions honestly.  If you are over 69 years old and not used to being physically active, please consult your doctor.  Answering YES to any of the questions below will require you to obtain medical clearance before starting personal training.

Has your doctor ever said that you have a heart conditon and that you should only do physical activity recommended by a doctor?
Do you feel pain in your chest when you engage in physica acivity?
In the past month, have you had chest pain when you were NOT performing any physical activity?
Do you lose your balance because of dizziness, or do you ever lose consiousness?
Do you have a bone or joint problem that could be made worse by a chage in your physical activity?
Is your doctor currently prescribing any medication for your blood pressure or a heart condition?
Do you know of any other reason why you should NOT engage in physical activity?

If you answered YES to one or more questions

  • Talk with your doctor BEFORE you start becoming more physically active. Tell your doctor about the PAR –Q and which questions you answered YES to.

  • You may be able to do any activity you want as long as you start slowly and build up gradually. You may need to restrict your activities to those which are safe for you. Talk with your physician about the kinds of activities you wish to participate in and follow his/her advice. 

  • Find out which exercise programs are safe and helpful to you.


If you answered NO to all questions

  • Start becoming more physically active slowly and gradually.  This is the safest and easiest way to go.

  • Take part in a fitness assessment. This is an excellent way to determine your basic fitness level, so that you can plan the best way to increase activity. 

Acknowledgement & Signatures


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