While this form will help screen for potential health issues, we always recommend consulting your doctor before starting a new physical activity regime.

Some people should check with their doctor before they start becoming more physically active. If you are planning to become much more physically active than you are now, start by answering the seven questions in the box below. If you are between the ages of 15 and 69, the PAR-Q will tell you if you should check with your doctor before you start. If you are over 69 years of age, and you are not used to being very active, check with your doctor.

Common sense is your best guide when you answer these questions. Please read the questions carefully and answer each one honestly:

If you answered YES to one or more questions, talk with your doctor by phone or in person BEFORE you start becoming much more physically active.Tell you doctor about the PAR-Q and which questions you answered YES.

Your First and Last Name:

1. Has your doctor ever told you that you have a heart condition and that 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 (for example, back, knee or hip) 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

If you answered NO honestly to all PAR-Q questions, you can be reasonably sure that you can:
start becoming much more physically active - begin slowly and build up gradually. This is the safest and easiest way to go.

Take part in a fitness appraisal - this is an excellent way to determine your basic fitness so that you can plan the best way for you to live actively. It is also highly recommended that you have your blood pressure evaluated. If your reading is over 144 / 94, talk with your doctor

1. You have been cleared by a doctor to start an exercise program
 yes no

2. You understand that you will be using IdolFit programs at your own risk
 yes no

3. You are over 18 years of age, and you have no health issues that could worsen with exercise.
 yes no