Kered Personal Training | Complete PAR-Q Questionnaire

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Complete PAR-Q Questionnaire

Has your doctor ever said that you have bone or joint problems, such as arthritis, that has been aggravated by exercise or might be made worse with exercise?

Have you had recent surgery?

Do you have high blood pressure?

Do you have low blood pressure?

Do you have Diabetes Mellitus or any other metabolic disease?

Has your doctor ever said you have raised cholesterol (serum level above 6.2mmol/L)?

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

Have you ever felt pain in your chest when you do physical exercise?

Is your doctor currently prescribing you drugs or medication?

Have you ever suffered from unusual shortness of breath at rest or with mild exertion?

Is there any history of Coronary Heart Disease in your family?

Do you often feel faint, have spells of severe dizziness or have lost consciousness?

Do you currently drink more than the average amount of alcohol per week (21 units for men and 14 units for women)?

Do you currently smoke?

Do you currently exercise on a regular basis (at least 3 times a week) and/or work in a job that is physically demanding?

Are you, or is there any possibility that you might be pregnant?

Do you know of any other reason why you should not participate in a physical activity programme?

If you answered YES to any of the questions above please give details:

If you answered YES to one or more questions: If you have not recently done so, consult with your doctor by telephone or in person before increasing your physical activity and/or taking a fitness appraisal. Tell your doctor what questions you answered ‘yes’ to on PAR-Q or present your PAR-Q copy. After medical evaluation, seek advice from your doctor as to your suitability for:

Unrestricted physical activity starting off easily and progressing gradually
Restricted or supervised activity to meet your specific needs, at least on an initial basis

If you answered NO to all questions: If you answered PAR-Q accurately, you have reasonable assurance of your present suitability for:

A graduated exercise programme
A fitness appraisal

Assumption of Risk

I hereby state that I have read, understood and answered honestly the questions above. I also state that I wish to participate in activities, which may include aerobic exercise, resistance exercise and stretching. I realise that my participation in these activities involves the risk of injury and even the possibility of death. Furthermore, I hereby confirm that I am voluntarily engaging in an acceptable level of exercise, which has been recommended to me.

If you’re not committed to becoming better and working towards your goals, then please don’t waste my time.

Signature

Date

12/05/2025

Additional Note: I have taken medical advice if necessary and my doctor has agreed that I should exercise.

Signature

Date

12/05/2025