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Physical Activity Readiness
Questionnaire - PAR-Q
(revised 2002)                                   PAR-Q & YOU    (A Questionnaire for People Aged 15 to 69)
 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, start by answering the seven questions in the box below. If you are between the
 ages of 15 and 69, the PAR-Q will tell you if you should check with your doctor before you start. If you are over 69 years of age, and you are not used to being
 very active, check with your doctor.
 Common sense is your best guide when you answer these questions. Please read the questions carefully and answer each one honestly: check YES or NO.

     YES          NO
                              1.   Has your doctor ever said that you have a heart condition and that you should only do physical activity
                                   recommended by a doctor?
                              2.   Do you feel pain in your chest when you do physical activity?
                              3.   In the past month, have you had chest pain when you were not doing physical activity?
                              4.   Do you lose your balance because of dizziness or do you ever lose consciousness?
                              5.   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?
                              6.   Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart con-
                                   dition?
                              7.   Do you know of any other reason why you should not do physical activity?



 If                                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
 you                               your doctor about the PAR-Q and which questions you answered YES.
                                   • 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

 answered                            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.
                                   • Find out which community programs are safe and helpful for you.


   NO to all questions
   If you answered NO honestly to all PAR-Q questions, you can be reasonably sure that you can:
                                                                                                              	➔             DELAY BECOMING MUCH MORE ACTIVE:
                                                                                                                             • if you are not feeling well because of a temporary illness such as
                                                                                                                               a cold or a fever – wait until you feel better; or
   • start becoming much more physically active – begin slowly and build up gradually. This is the                           • if you are or may be pregnant – talk to your doctor before you
       safest and easiest way to go.                                                                                           start becoming more active.
   • take part in a fitness appraisal – this is an excellent way to determine your basic fitness so
     that you can plan the best way for you to live actively. It is also highly recommended that you                  PLEASE NOTE: If your health changes so that you then answer YES to
     have your blood pressure evaluated. If your reading is over 144/94, talk with your doctor                          any of the above questions, tell your fitness or health professional.
     before you start becoming much more physically active.                                                                 Ask whether you should change your physical activity plan.

 Informed Use of the PAR-Q: The Canadian Society for Exercise Physiology, Health Canada, and their agents assume no liability for persons who undertake physical activity, and if in doubt after completing
 this questionnaire, consult your doctor prior to physical activity.

                    No changes permitted. You are encouraged to photocopy the PAR-Q but only if you use the entire form.
 NOTE: If the PAR-Q is being given to a person before he or she participates in a physical activity program or a fitness appraisal, this section may be used for legal or administrative purposes.

                         "I have read, understood and completed this questionnaire. Any questions I had were answered to my full satisfaction."
 NAME ________________________________________________________________________

 SIGNATURE _______________________________________________________________________________                                 DATE______________________________________________________

 SIGNATURE OF PARENT _______________________________________________________________________                               WITNESS ___________________________________________________
 or GUARDIAN (for participants under the age of majority)

                        Note: This physical activity clearance is valid for a maximum of 12 months from the date it is completed and
                          becomes invalid if your condition changes so that you would answer YES to any of the seven questions.

                                                                                                         Health         Santé
                   © Canadian Society for Exercise Physiology               Supported by:                Canada         Canada                                           continued on other side...
...continued from other side
                                                                       PAR-Q & YOU                                                                                                                                      Physical Activity Readiness
                                                                                                                                                                                                                           Questionnaire - PAR-Q
                                                                                                                                                                                                                                   (revised 2002)


                                                                                                                     Choose a variety of
                                                                                                                     activities from these
                                                                                                                                                     Get Active Your Way, Every Day–For Life!
       A D A’ S                                                                                                      three groups:                   Scientists say accumulate 60 minutes of physical activity
    AN                                                                                                                                               every day to stay healthy or improve your health. As
            Physical Act ivit y Guide
C




                                                                                                                                                     you progress to moderate activities you can cut down to
                                                                                                                                                     30 minutes, 4 days a week. Add-up your activities in periods
                    to Healthy Active Living                                                                         Endurance                       of at least 10 minutes each. Start slowly… and build up.
                                                                                                                     4 -7 days a week
                                                                                                                     Continuous activities
                                                                                                                                                                       Time needed depends on effort
                                                                                                                     for your heart, lungs
Physical activity improves health.                                                                                   and circulatory system.         Very Light Light Effort
                                                                                                                                                     Effort     60 minutes
                                                                                                                                                                                             Moderate Effort Vigorous Effort Maximum
                                                                                                                                                                                             30 -60 minutes 20 -30 minutes Effort
                                                                                                                     Flexibility                     • Strolling   •   Light walking         •   Brisk walking              •   Aerobics                             • Sprinting
Every little bit counts, but more is even                                                                            4 -7 days a week
                                                                                                                                                     • Dusting     •   Volleyball            •   Biking                     •   Jogging                              • Racing
                                                                                                                                                                   •   Easy gardening        •   Raking leaves              •   Hockey
better – everyone can do it!                                                                                         Gentle reaching, bending                      •   Stretching            •   Swimming                   •   Basketball
                                                                                                                     and stretching activities to                                            •   Dancing                    •   Fast swimming
                                                                                                                     keep your muscles relaxed                                               •   Water aerobics             •   Fast dancing
Get active your way –                                                                                                and joints mobile.                                       Range needed to stay healthy

build physical activity                                                                                              Strength
                                                                                                                     2-4 days a week
into your daily life...                                                                                              Activities against resistance   You Can Do It – Getting started is easier than you think
• at home                                                                                                            to strengthen muscles and
                                                                                                                     bones and improve posture.
• at school                                                                                                                                          Physical activity doesn t have to be very hard. Build physical
                                                                                                                                                     activities into your daily routine.
• at work
                                                                                                                                                     • Walk whenever you can – get                                  • Start with a 10 minute walk –
• at play                                                                                                            Starting slowly is very           off the bus early, use the stairs                              gradually increase the time.
                                                                                                                     safe for most people.             instead of the elevator.                                     • Find out about walking and
• on the way                                                                                                         Not sure? Consult your          • Reduce inactivity for long                                     cycling paths nearby and
                                                                                                                     health professional.              periods, like watching TV.                                     use them.
...that’s                                                                                                                                                                                                           • Observe a physical activity
                                                                                                                                                     • Get up from the couch and
active living!                                                                                                       For a copy of the                 stretch and bend for a few                                     class to see if you want to try it.
                                                                                                                     Guide Handbook and                minutes every hour.                                          • Try one class to start – you don t
                                                                                                                     more information:               • Play actively with your kids.                                  have to make a long-term
                                                                                                                     1-888-334-9769, or              • Choose to walk, wheel or                                       commitment.
                                                                                                                     www.paguide.com                   cycle for short trips.                                       • Do the activities you are doing
                                                                                                                                                                                                                      now, more often.
                                                                                                                     Eating well is also
                                                                                                                     important. Follow
                                                                                                                     Canada’s Food Guide             Benefits of regular activity:                                  Health risks of inactivity:
                                                                                                                     to Healthy Eating to            •   better health                                              •   premature death
                                                                                                                     make wise food choices.         •   improved fitness                                           •   heart disease
                                                                                                                                                     •   better posture and balance                                 •   obesity
                                                                                                                                                     •   better self-esteem                                         •   high blood pressure
                                                                                                                                                     •   weight control                                             •   adult-onset diabetes
                  Increase        Increase        Increase             Reduce                                                                        •   stronger muscles and bones                                 •   osteoporosis
                  Endurance        Flexibility     Strength             Sitting for                                                                  •   feeling more energetic                                     •   stroke
                  Activities       Activities      Activities          long periods                                                                  •   relaxation and reduced stress                              •   depression
                                                                                                                                                     •   continued independent living in                            •   colon cancer
                                                                                                                                                         later life


                                                                                                                                                                                                                                          A D A’ S
            Health      Santé                                                                Canadian Society for                                                         No changes permitted. Permission to photocopy
                                                                                                                                                                                                                                     AN
                                                                                                                                                                                                                                            Physical Act ivit y Guide




                                                                                                                                                                                                                                 C
            Canada      Canada                                                               Exercise Physiology                                                              this document in its entirety not required.
                                                                                                                                                                          Cat. No. H39-429/1998-1E ISBN 0-662-86627-7                                to Healthy Active Living




   Source: Canada's Physical Activity Guide to Healthy Active Living, Health Canada, 1998 http://www.hc-sc.gc.ca/hppb/paguide/pdf/guideEng.pdf
   © Reproduced with permission from the Minister of Public Works and Government Services Canada, 2002.

      FITNESS AND HEALTH PROFESSIONALS MAY BE INTERESTED IN THE INFORMATION BELOW:

      The following companion forms are available for doctors' use by contacting the Canadian Society for Exercise Physiology (address below):
              The Physical Activity Readiness Medical Examination (PARmed-X) – to be used by doctors with people who answer YES to one or more
              questions on the PAR-Q.
              The Physical Activity Readiness Medical Examination for Pregnancy (PARmed-X for Pregnancy) – to be used by doctors with pregnant
              patients who wish to become more active.

      References:
      Arraix, G.A., Wigle, D.T., Mao, Y. (1992). Risk Assessment of Physical Activity and Physical Fitness in the Canada Health Survey
            Follow-Up Study. J. Clin. Epidemiol. 45:4 419-428.
      Mottola, M., Wolfe, L.A. (1994). Active Living and Pregnancy, In: A. Quinney, L. Gauvin, T. Wall (eds.), Toward Active Living: Proceedings of the International
            Conference on Physical Activity, Fitness and Health. Champaign, IL: Human Kinetics.
      PAR-Q Validation Report, British Columbia Ministry of Health, 1978.
      Thomas, S., Reading, J., Shephard, R.J. (1992). Revision of the Physical Activity Readiness Questionnaire (PAR-Q). Can. J. Spt. Sci. 17:4 338-345.

   For more information, please contact the:                                                                         The original PAR-Q was developed by the British Columbia Ministry of Health. It has
                                                                                                                     been revised by an Expert Advisory Committee of the Canadian Society for Exercise
                                    Canadian Society for Exercise Physiology                                         Physiology chaired by Dr. N. Gledhill (2002).
                                         202-185 Somerset Street West
                                                                                                                     Disponible en français sous le titre «Questionnaire sur l'aptitude à l'activité physique
                                             Ottawa, ON K2P 0J2                                                      - Q-AAP (revisé 2002)».
                                 Tel. 1-877-651-3755 • FAX (613) 234-3565
                                             Online: www.csep.ca

                                                                                                                    Health         Santé
                          © Canadian Society for Exercise Physiology                  Supported by:                 Canada         Canada

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PAR Q & YOU

  • 1. Physical Activity Readiness Questionnaire - PAR-Q (revised 2002) PAR-Q & YOU (A Questionnaire for People Aged 15 to 69) 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, start by answering the seven questions in the box below. If you are between the ages of 15 and 69, the PAR-Q will tell you if you should check with your doctor before you start. If you are over 69 years of age, and you are not used to being very active, check with your doctor. Common sense is your best guide when you answer these questions. Please read the questions carefully and answer each one honestly: check YES or NO. YES NO 1. Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor? 2. Do you feel pain in your chest when you do physical activity? 3. In the past month, have you had chest pain when you were not doing physical activity? 4. Do you lose your balance because of dizziness or do you ever lose consciousness? 5. 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? 6. Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart con- dition? 7. Do you know of any other reason why you should not do physical activity? If 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 you your doctor about the PAR-Q and which questions you answered YES. • 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 answered 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. • Find out which community programs are safe and helpful for you. NO to all questions If you answered NO honestly to all PAR-Q questions, you can be reasonably sure that you can: ➔ DELAY BECOMING MUCH MORE ACTIVE: • if you are not feeling well because of a temporary illness such as a cold or a fever – wait until you feel better; or • start becoming much more physically active – begin slowly and build up gradually. This is the • if you are or may be pregnant – talk to your doctor before you safest and easiest way to go. start becoming more active. • take part in a fitness appraisal – this is an excellent way to determine your basic fitness so that you can plan the best way for you to live actively. It is also highly recommended that you PLEASE NOTE: If your health changes so that you then answer YES to have your blood pressure evaluated. If your reading is over 144/94, talk with your doctor any of the above questions, tell your fitness or health professional. before you start becoming much more physically active. Ask whether you should change your physical activity plan. Informed Use of the PAR-Q: The Canadian Society for Exercise Physiology, Health Canada, and their agents assume no liability for persons who undertake physical activity, and if in doubt after completing this questionnaire, consult your doctor prior to physical activity. No changes permitted. You are encouraged to photocopy the PAR-Q but only if you use the entire form. NOTE: If the PAR-Q is being given to a person before he or she participates in a physical activity program or a fitness appraisal, this section may be used for legal or administrative purposes. "I have read, understood and completed this questionnaire. Any questions I had were answered to my full satisfaction." NAME ________________________________________________________________________ SIGNATURE _______________________________________________________________________________ DATE______________________________________________________ SIGNATURE OF PARENT _______________________________________________________________________ WITNESS ___________________________________________________ or GUARDIAN (for participants under the age of majority) Note: This physical activity clearance is valid for a maximum of 12 months from the date it is completed and becomes invalid if your condition changes so that you would answer YES to any of the seven questions. Health Santé © Canadian Society for Exercise Physiology Supported by: Canada Canada continued on other side...
  • 2. ...continued from other side PAR-Q & YOU Physical Activity Readiness Questionnaire - PAR-Q (revised 2002) Choose a variety of activities from these Get Active Your Way, Every Day–For Life! A D A’ S three groups: Scientists say accumulate 60 minutes of physical activity AN every day to stay healthy or improve your health. As Physical Act ivit y Guide C you progress to moderate activities you can cut down to 30 minutes, 4 days a week. Add-up your activities in periods to Healthy Active Living Endurance of at least 10 minutes each. Start slowly… and build up. 4 -7 days a week Continuous activities Time needed depends on effort for your heart, lungs Physical activity improves health. and circulatory system. Very Light Light Effort Effort 60 minutes Moderate Effort Vigorous Effort Maximum 30 -60 minutes 20 -30 minutes Effort Flexibility • Strolling • Light walking • Brisk walking • Aerobics • Sprinting Every little bit counts, but more is even 4 -7 days a week • Dusting • Volleyball • Biking • Jogging • Racing • Easy gardening • Raking leaves • Hockey better – everyone can do it! Gentle reaching, bending • Stretching • Swimming • Basketball and stretching activities to • Dancing • Fast swimming keep your muscles relaxed • Water aerobics • Fast dancing Get active your way – and joints mobile. Range needed to stay healthy build physical activity Strength 2-4 days a week into your daily life... Activities against resistance You Can Do It – Getting started is easier than you think • at home to strengthen muscles and bones and improve posture. • at school Physical activity doesn t have to be very hard. Build physical activities into your daily routine. • at work • Walk whenever you can – get • Start with a 10 minute walk – • at play Starting slowly is very off the bus early, use the stairs gradually increase the time. safe for most people. instead of the elevator. • Find out about walking and • on the way Not sure? Consult your • Reduce inactivity for long cycling paths nearby and health professional. periods, like watching TV. use them. ...that’s • Observe a physical activity • Get up from the couch and active living! For a copy of the stretch and bend for a few class to see if you want to try it. Guide Handbook and minutes every hour. • Try one class to start – you don t more information: • Play actively with your kids. have to make a long-term 1-888-334-9769, or • Choose to walk, wheel or commitment. www.paguide.com cycle for short trips. • Do the activities you are doing now, more often. Eating well is also important. Follow Canada’s Food Guide Benefits of regular activity: Health risks of inactivity: to Healthy Eating to • better health • premature death make wise food choices. • improved fitness • heart disease • better posture and balance • obesity • better self-esteem • high blood pressure • weight control • adult-onset diabetes Increase Increase Increase Reduce • stronger muscles and bones • osteoporosis Endurance Flexibility Strength Sitting for • feeling more energetic • stroke Activities Activities Activities long periods • relaxation and reduced stress • depression • continued independent living in • colon cancer later life A D A’ S Health Santé Canadian Society for No changes permitted. Permission to photocopy AN Physical Act ivit y Guide C Canada Canada Exercise Physiology this document in its entirety not required. Cat. No. H39-429/1998-1E ISBN 0-662-86627-7 to Healthy Active Living Source: Canada's Physical Activity Guide to Healthy Active Living, Health Canada, 1998 http://www.hc-sc.gc.ca/hppb/paguide/pdf/guideEng.pdf © Reproduced with permission from the Minister of Public Works and Government Services Canada, 2002. FITNESS AND HEALTH PROFESSIONALS MAY BE INTERESTED IN THE INFORMATION BELOW: The following companion forms are available for doctors' use by contacting the Canadian Society for Exercise Physiology (address below): The Physical Activity Readiness Medical Examination (PARmed-X) – to be used by doctors with people who answer YES to one or more questions on the PAR-Q. The Physical Activity Readiness Medical Examination for Pregnancy (PARmed-X for Pregnancy) – to be used by doctors with pregnant patients who wish to become more active. References: Arraix, G.A., Wigle, D.T., Mao, Y. (1992). Risk Assessment of Physical Activity and Physical Fitness in the Canada Health Survey Follow-Up Study. J. Clin. Epidemiol. 45:4 419-428. Mottola, M., Wolfe, L.A. (1994). Active Living and Pregnancy, In: A. Quinney, L. Gauvin, T. Wall (eds.), Toward Active Living: Proceedings of the International Conference on Physical Activity, Fitness and Health. Champaign, IL: Human Kinetics. PAR-Q Validation Report, British Columbia Ministry of Health, 1978. Thomas, S., Reading, J., Shephard, R.J. (1992). Revision of the Physical Activity Readiness Questionnaire (PAR-Q). Can. J. Spt. Sci. 17:4 338-345. For more information, please contact the: The original PAR-Q was developed by the British Columbia Ministry of Health. It has been revised by an Expert Advisory Committee of the Canadian Society for Exercise Canadian Society for Exercise Physiology Physiology chaired by Dr. N. Gledhill (2002). 202-185 Somerset Street West Disponible en français sous le titre «Questionnaire sur l'aptitude à l'activité physique Ottawa, ON K2P 0J2 - Q-AAP (revisé 2002)». Tel. 1-877-651-3755 • FAX (613) 234-3565 Online: www.csep.ca Health Santé © Canadian Society for Exercise Physiology Supported by: Canada Canada