PAR-Q (Physical Activity Readiness Questionnaire)

Full name*

Email address*

Phone number*

Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?*

Do you feel pain in your chest when you do physical activity?*

In the past month, have you had chest pain when you were not doing physical activity?*

Do you lose your balance because of dizziness, or do you ever lose consciousness?*

Do you have a bone or joint problem that could be made worse by a change in your physical activity?*

Is your doctor currently prescribing medication for your blood pressure or a heart condition?*

Do you know of any other reason why you should not do physical activity?*

If you answered yes to any question, give details

What happens next

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Your details go straight to George and are never shared, sold, or shown publicly.
Sent the moment you submit
George is notified by email with your answers as soon as you hit send.
A personal reply
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Your details are private and only shared with George