Par-Q Form

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Thank you for choosing the Wisconsin Athletic Club. PAR-Q is designed to help you help yourself. Many health benefits are associated with regular exercise, and the completion of PAR-Q is a sensible first step to take if you are planning to increase the amount of physical activity in your life.

Please read through questions carefully and check the answer that applies to you

1. Has your doctor ever said that you have a heart condition and recommend only medically supervised activity?
2. Do you feel pain in your chest when you do physical activity?
3. Are you over age 65 and not accustomed to vigorous exercise?
4. Have you on one or more occasions lost consciousness or fallen over as a result of dizziness?
5. Do you have a bone or joint problem that could be aggravated by the proposed physical activity?
6. Has your doctor ever prescribed drugs for your blood pressure or heart condition?
7. Are you aware, through your own physical experience or a doctor’s advice, of any physical reason that would prohibit you from exercising without medical supervision?