parqandyou

Par - Q and You | BASINGSTOKE GET ACTIVE

For most people physical activity should not pose any problem or hazard. The Par-Q has been designed to identify the small number of adults for whom physical activity might be inappropriate or those who should have medical advice concerning the type of activity most suitable for them. Basingstoke Get Active use the Par Q as a tool for those who are interested in taking part in physical activity and sport and want an idea at the outset of how ready they are to participate. We recommend a follow up interview with your GP should you be in any draught. Talking to the organisors of an event will further ascertain your level of participation.

Below is a sample form that you will be asked to complete when participating in an organised event, sport or physical activity.

Par - Q and You | BASINGSTOKE GET ACTIVE

Common sense is your best guide in answering these questions. Please read them carefully and check YES or NO if it applies to you. If a question is answered with YES, please use the available space to explain your answer and give additional details.

1. Has a doctor ever said you have a heart condition and you should only do physical activity recommended by a doctor?	Yes	No
2. Do you feel pain in your chest when you do physical activity?	Yes	No
3. In the past month, have you had chest pain when you were not doing physical activity?	Yes	No
4. Do you lose your balance because of dizziness or do you ever lose consciousness?	Yes	No
5. Do you have a bone or joint problem that could be made worse by a change in your physical activity?	Yes	No
6. Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition?	Yes	No
7. Do you know of any other reason why you should not do physical activity?	Yes	No
8. Do you currently participate in any regular activity program designed to improve or maintain your physical fitness. If yes, what activity program do you participate in?	Yes	No

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

1. Unrestricted physical activity starting off easily and progressing gradually, and …
2. 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 the PAR-Q honestly and accurately, you have reasonable assurance of your present suitability for:

1. A fitness appraisal.
2. A sport / activity or leisure pursuit

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 strenuous in nature and may include aerobic exercise, resistance exercise and stretching. I realise that my participation in these activities involve the risk of injury and even the possibility of death. I hereby confirm that I am voluntarily engaging in an acceptable level of exercise within sporting activities, which has been recommended to me by the organising body stated below.

Participants Name:	______________________________	Signature:	______________________________

Organisers Name:	______________________________	Signature:	______________________________