• Please select the statement that best describes your current activity level:
  • Regular physical activity is fun and healthy, and increasingly more people are starting to become more active every day. Being more active is very safe for most people. However, some people should check with their doctor before they start becoming much more physically active. If you are planning to become much more physically active than you are now, please start by answering the questions below. If you are between the ages of 16 and 69, the PAR-Q will tell you if you should check with your doctor before you start. If you are under the age of 16 or over 69 years of age, and you are not used to being very active, please check with your doctor first. For anyone under the age of 16, this form must be completed by a parent/guardian. Common sense is your best guide when you answer these questions.
  • Please read the questions on the next page carefully and answer each one honestly:
  • Disability

    The Disability Discrimination Act 1995 defines a disabled person as anyone with a ‘physical or mental impairment that has a substantial and long-term adverse effect upon his/her ability to carry out normal day-to-day activities’.
  • If you answered YES to one or more questions:

    Talk with your doctor by phone or in person BEFORE you start becoming much more physically active or BEFORE you have a fitness appraisal. 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. Or you may need to restrict your activities to those which are safe for you. Talk with your doctor about the kinds of activities you wish to participate in and follow his/her advice.
  • If you answered NO honestly to all questions

    You can be reasonably sure that you can start becoming much more physically active, begin slowly and build up gradually. This is the safest and easiest way to go. Taking part in a fitness appraisal is an excellent way to determine your basic health and fitness level. It is also highly recommended to have your blood pressure evaluated. Please speak to your instructor who can arrange these for you. If your blood press reading is over 140/90 please talk with your doctor before you start becoming much more physically active.
  • Delay becoming much more active:

    If you are not feeling well because of temporary illness such as a cold or fever, wait until you feel better. If you are pregnant or are within 6 weeks of giving birth, talk to your doctor before you start becoming more active.
  • Please note:

    If your health changes so that you then answer YES to any of the above questions, tell your instructor and ask whether you should change your physical activity plan.
  • This field is for validation purposes and should be left unchanged.