2018 PAR-Q+

The Physical Activity Readiness Questionnaire for Everyone

The health benefits of regular physical activity are clear; more people should engage in physical activity every day of the
week. Participating in physical activity is very safe for MOST people. This questionnaire will tell you whether it is necessary for
you to seek further advice from your doctor OR a qualified exercise professional before becoming more physically active.

GENERAL HEALTH QUESTIONS

Please read the 7 questions below carefully and answer each one honestly: check YES or No YES NO
1) Has your doctor ever said that you have a heart condition OR high blood pressure ?
2) Do you feel pain in your chest at rest, during your daily activities of living, OR when you do physical activity?
3) Do you lose balance because of dizziness OR have you lost consciousness in the last 12 months?
(Please answer NO if your dizziness was associated with over-breathing (including during vigorous exercise).
4) Have you ever been diagnosed with another chronic medical condition (other than heart disease or high
blood pressure)? PLEASE LIST CONDITION(S) HERE:______________________________________________________
5) Are you currently taking prescribed medications for a chronic medical condition:
PLEASE LIST CONDITION(S) AND MEDICATIONS HERE:_____________________________________________________________
6) Do you currently have (or have had within the past 12 months) a bone, joint, or soft tissue (muscle,
ligament, or tendon) problem that could be made worse by becoming more physically active?
(Please answer NO if you had a problem in the past, but it does not limit your current ability to be physically active).
PLEASE LIST CONDITION(S) HERE:______________________________________________________________________
7) Has your doctor ever said that you should only do medically supervised physical activity?

 If you answered NO to all of the questions above, you are cleared for physical activity. Go to page 4 to sign the
PARTICIPANT DECLARATION. You do not need to complete Pages 2 and 3.
 Start becoming much more physically active – start slowly and build up gradually.
 Follow International Physical Activity Guidelines for your age (www.who.int/dietphysicalactivity/en/).
 You may take part in a health and fitness appraisal.
 If you are over the age of 45 and NOT accustomed to regular vigorous to maximal effort exercise, consult a
qualified exercise professional before engaging in this intensity of exercise.
 If you have any further questions, contact a qualified exercise professional.

 If you answered YES to one or more of the questions above, COMPLETE PAGES 2 AND 3.

Delay becoming more active if:

 You have a temporary illness such as a cold or fever, it is best to wait until you feel better.
 You are pregnant – talk to your health care practitioner, your physician, a qualified exercise professional, and/or
complete the ePARmed-X+ at www.eparmedx.com before becoming more physically active.
 Your health changes – answer the questions of Pages 2and 3 of this document and/or talk to your doctor or a
qualified exercise professional before continuing with any physical activity program.
 2018 PAR-Q+
FOLLOW-UP QUESTIONS ABOUT YOUR MEDICAL CONDITION(S)

1. Do you have Arthritis, Osteoporosis, or Back Problems?

If the above condition(s) is/are present answer questions 1a-1c If NO go to question 2
1a Do you have difficulty controlling your condition with medications or other physician prescribed
therapies? YES NO
(Answer NO if you are not currently taking medications or other treatments)
1b Do you have joint problems causing pain, a recent fracture or fracture caused by osteoporosis or cancer,
displaced vertebra (e.g., spondylolisthesis), and/or spondylolysis/pars defect (a crack in the bony ring on
the back of the spinal column)? YES NO
1c Have you had steroid injections or taken steroid tablets regularly for more than 3 months? YES NO
2. Do you have Cancer of any kind?
If the above condition(s) is/are present, answer questions 2a-2b If NO go to question 3
2a Does your cancer diagnosis include any of the following types; lung/bronchogenic, multiple myeloma
(cancer of plasma cells), head, and neck? YES NO

2b Are you currently receiving cancer therapy (such as chemotherapy or radiotherapy)? YES NO
3. Do you have a Heart or Cardiovascular Condition? This includes Coronary Artery Disease, Heart Failure, Diagnosed
Abnormality of Heart Rhythm
If the above condition(s) is/are present, answer questions 3a-3d If NO go to question 4
3a Do you have difficulty controlling your condition with medications or other physician-prescribed YES NO
therapies? (Answer NO if you are not currently taking medications or other treatments)
3b Do you have an irregular heart beat that required medical management? YES NO
(e.g., atrial fibrillation, premature ventricular contraction)
3c Do you have chronic heart failure? YES NO
3d Do you have diagnosed coronary artery (cardiovascular) disease and have not participated in regular physical
activity in the last 2 months? YES NO
4. Do you have High Blood Pressure?
If the above condition(s) is/are present, answer questions 4a-4b If NO go to question 5
4a Do you have difficulty controlling your condition with medications or other physician-prescribed
therapies? (Answer NO if you are not currently taking medications or other treatments) YES NO
4b Do you have a resting blood pressure equal to or greater than 160/90 mmHg with or without
medication? (Answer YES if you do not know your resting blood pressure) YES NO
5. Do you have any Metabolic Conditions? This includes Type 1 Diabetes, Type 2 Diabetes, Pre-Diabetes
If the above condition(s) is/are present, answer questions 5a-5e If NO go to question 6
5a Do you often have difficulty controlling your blood sugar levels with foods, medications, or other physician-
prescribed therapies? YES NO
5b Do you often suffer from signs and symptoms of low blood sugar (hypoglycemia) following exercise and/or
during activities of daily living? Signs of hypoglycemia may include shakiness, nervousness, unusual irritability,
abnormal sweating, dizziness or light-headedness, mental confusion, difficulty speaking, weakness, YES NO
or sleepiness.
5c Do you have any signs or symptoms of diabetes complications such as heart or vascular disease and/or
complications affecting your eyes, kidneys, OR the sensation in your toes and feet? YES NO
5d. Do you have other metabolic conditions (such as current pregnancy-related diabetes, chronic kidney
disease or liver problems)? YES NO
5e Are you planning to engage in what for you is unusually high (or vigorous) intensity exercise in
the near future? YES NO
 2018 PAR-Q+
6. Do you have any Mental Health Problems or Learning Difficulties? This includes Alzheimer’s
Dementia, Depression, Anxiety Disorder, Eating Disorder, Psychotic Disorder, Intellectual
Disability, Down Syndrome
If the above condition(s) is/are present, answer questions 6a-6b If NO go to question 7
6a Do you have difficulty controlling your condition with medications or other physician-prescribed YES NO
therapies? (Answer NO if you are not currently taking medications or other treatments)
6b Do you ALSO have back problems affecting nerves or muscles? YES NO
7. Do you have a Respiratory Disease? This includes Chronic Obstructive Pulmonary Disease, Asthma,
Pulmonary High Blood Pressure
If the above condition(s) is/are present, answer questions 7a-7d If NO go to question 8
7a Do you have difficulty controlling your condition with medications or other physician-prescribed YES NO
therapies? (Answer NO if you are not currently taking medications or other treatments)
7b Has your doctor ever said your blood oxygen level is low at rest or during exercise and/or that you require
supplemental oxygen therapy? YES NO
7c If asthmatic, do you currently have symptoms of chest tightness, wheezing, labored breathing,
consistent cough (more than 2 days/week), or have you used your rescue medication more than twice
in the last week? YES NO

7d Has your doctor ever said you have high blood pressure in the blood vessels of your lungs? YES NO
8. Do you have a Spinal Cord Injury? This includes Tetraplegia and Paraplegia
If the above condition(s) is/are present, answer questions 8a-8c If NO go to question 9
8a Do you have difficulty controlling your condition with medications or other physician-prescribed YES NO
therapies?
(Answer NO if you are not currently taking medications or other treatments)
8b Do you commonly exhibit low resting blood pressure significant enough to cause dizziness,
YES NO
light-headedness, and/or fainting?
8c Has your physician indicated that you exhibit sudden bouts of high blood pressure (known as
Autonomic Dysreflexia) YES NO

9. Have you had a Stroke? This includes Transient Ischemic Attack (TIA) or Cerebrovascular Event
If the above condition(s) is/are present, answer questions 9a-9c If NO go to question 10
9a Do you have difficulty controlling you condition with medications or other physician-prescribed
therapies? YES NO
(Answer NO if you are not currently taking medications or other treatments)
9b Do you have any impairment in walking or mobility? YES NO
9c Have you experienced a stroke or impairment in nerves or muscles in the past 6 months? YES NO
10. Do you have any other medical condition not listed above or do you have two or more medical conditions?
If you have other medical conditions, answer questions 10a-10c If NO read the Page 4 recommendations
10a Have you experienced a blackout, fainted, or lost consciousness as a result of a head injury within the last 12
months OR have you had a diagnosed concussion within the last 12 months? YES NO
10b Do you have a medical condition that is not listed (such as epilepsy, neurological conditions,
YES NO
kidney problems)?
10c Do you currently live with two or more medical conditions? YES NO
PLEASE LIST YOUR MEDICAL CONDITIONS(S)________________________________________________________
AND ANY RELATED MEDICATIONS HERE:___________________________________________________________

GO to Page 4 for recommendations about your current

medical condition(s) and sign the PARTICIPANT DECLARATION.
 2018 PAR-Q+

 If you answered NO to all of the follow-up questions about your medical condition, you are ready to become more
physically active – sign the PARTICIPANT DECLARATION below:
 It is advised that you consult a qualified exercise professional to help you develop a safe and effective physical
activity plan to meet your health needs.
 You are encouraged to start slowly and build up gradually – 20 to 60 minutes of low to moderate intensity
exercise, 3-5 days per week including aerobic and muscle strengthening exercises.
 As you progress, you should aim to accumulate 150 minutes or more of moderate intensity physical activity per
week.
 If you are over the age of 45 yr and NOT accustomed to regular vigorous to maximal effort exercise, consult
a qualified exercise professional before engaging in this intensity of exercise.

If you answered YES to one or more of the follow-up questions about your medical condition:
You should seek further information before becoming more physically active or engaging in a fitness
appraisal. You should complete the specially designed online screening and exercise recommendations
program – the ePARmed-X+at www.eparmedx.com and/or visit a qualified exercise professional to work
through the ePARmed-X+ and for further information.

Delay becoming more active if:

 You have a temporary illness such as a cold or fever; it is best to wait until you feel better.
 You are pregnant – talk to your health care practioner, you physician, and qualified exercise
professional, and/or complete the ePARmed-X+ at www.eparmedx.com before becoming more
physically active.
 Your health changes – talk to your doctor or qualified exercise professional before continuing with any
physical activity program.
• You are encouraged to photocopy the PAR-Q+. You must use the entire questionnaire and NO changes are
permitted.
• The authors, the PAR-Q+ Collaboration, partner organizations, and their agents assume no liability for
persons who undertake physical activity and/or make use of the PAR-Q+ or ePARmed-X+. If in doubt after
completing the questionnaire, consult your doctor prior to physical activity.

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