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PAR-Q
Before engaging in any exercise program, one must first complete the Physical Activity
Readiness Questionnaire or PAR-Q. This helps to determine how safe it is for a person to
undergo physical activities. It helps lower the risk of any untoward incidents caused by medical
conditions from occurring. Directions: Read each question carefully and answer each one with
honesty
PHYSICAL ACTIVITY READINESS QUESTIONNAIRE (PAR-Q)
QUESTIONS YES NO
1. Has your doctor ever said that you have a heart condition and that
you should only do physical activities recommended by a doctor?
2. Do you feel pain in your chest when you perform a physical
activity?
3. In the past month, have you had chest pain when you were not
doing any physical activity?
4. Do you lose your balance because of dizziness or loss of
consciousness?
5. Do you have a bone or joint problem that could be worsened by
any physical activity?
6. Is your doctor currently prescribing any medication for your blood
pressure or heart condition?
7. Do you know other reason/s why you should not engage in any
physical activity? Please indicate:
I have read, understood and completed this questionnaire. Any questions I had were answered
to my full satisfaction.
Name: _______________________________________________
Signature: _____________________________________________ Date: ______________
Signature of Parent or Guardian: __________________________
Reflection: (Note: Deduction of one point per day for late submission, and a fair grade for
copied work.)
1. How important is choreography in dancing (2 to 3 sentences)
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