Best Upper Body Exercises
• if you are not feeling well because of a temporary illness such as a cold or a fever – wait until you feel better; or
• if you are or may be pregnant – 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 fitness or health professional.
Ask whether you should change your physical activity plan.
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.”
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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.
Physical Activity Readiness Questionnaire (PAR-Q) © 2002. Reprinted with permission from the Canadian Society for Exercise Physiology. http://www.csep.ca/forms.asp.
List any medications or supplements you are taking or any medical treatments you are undergoing. Include the name of the substance or treatment and its purpose. Include both prescription and over-the-counter drugs and supplements.
Check any of the following that is true for you, and fill in the requested information.
I usually eat high-fat foods (fatty meats, cheese, fried foods, butter, full-fat dairy products) every day.
I consume fewer than 5 servings of fruits and vegetables on most days.
I smoke cigarettes or use other tobacco products. If true, describe your use of tobacco (type and frequency):
I regularly drink alcohol. If true, describe your typical weekly consumption pattern:
I often feel as if I need more sleep. (I need abouthours per day; I get abouthours per day.)
I feel as though stress has adversely affected my level of wellness during the past year.
Describe your current activity pattern. What types of moderate physical activity do you engage in on a daily basis? Are you involved in a formal exercise program, or do you regularly participate in sports or recreational activities?
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