PAR-Q+ Health Questionnaire
The Physical Activity Readiness Questionnaire (PAR-Q+) helps make sure it's safe for you to start training with Underdog Training Club Inc. Please read the 7 questions below carefully and answer each one honestly.
General Health Questions
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?
4) Have you ever been diagnosed with another chronic medical condition (other than heart disease or high blood pressure)?
5) Are you currently taking prescribed medications for a chronic medical condition?
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?
7) Has your doctor ever said that you should only do medically supervised physical activity?
Tap each section below to read what your answers mean, then complete the form.
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You are cleared for physical activity.
Start becoming much more physically active – start slowly and build up gradually.
Follow Global Physical Activity Guidelines for your age.
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.
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You should seek further information before becoming more physically active or engaging in a fitness appraisal. Complete the ePARmed-X+ at www.eparmedx.com and/or talk to your doctor or a qualified exercise professional before starting. I will follow up with you before your first session.
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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 – talk to your doctor or a qualified exercise professional before continuing with any physical activity program.
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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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I, the undersigned, have read, understood to my full satisfaction and completed this questionnaire. I acknowledge that this physical activity clearance is valid for a maximum of 12 months from the date it is completed and becomes invalid if my condition changes. I also acknowledge that Underdog Training Club Inc. may retain a copy of this form for its records. In these instances, it will maintain the confidentiality of the same, complying with applicable law. If I am less than the legal age required for consent, my parent or guardian must also sign this form.