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physical readiness questionnaire and you

(a questionnaire for people aged 15-69)

Being active is very safe for most people. However, some people should check with their doctor before they become physically active.

Please answer the seven questions in the boxes below, using proper names, and the email address that you signed up with. 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 participate in a Military in Motion challenge, program, class or event. If you are over 69 years of age, and you are not used to being very active, check with your doctor.

It is imperative to fill out the below questionnaire before taking part.   
Common sense is your best guide when you answer these questions. Please read the questions carefully and answer each one honestly: Select YES or NO.

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

Do you feel pain in your chest when you do physical activity?

In the past month, have you had chest pain when you were not doing physical activity?

Do you lose balance because of dizziness or do you ever lose consciousness?

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?

Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart conditions?

Do you know of any other reason why you should not do physical activity?

If you answered YES to one or more questions: Talk with your doctor by phone or in person BEFORE you participate in exercise.

Tell your doctor about the PAR-Q and which questions you answered YES and discuss taking part in a Military in Motion™  Programmes, Challenges and or Classes.

You will need a signed letter by your doctor to confirm they have passed your health before taking part in a Military in Motion™ Programme, Challenge and or Class, if you have answered YES to any of the above questions. If you answered NO honestly to all PAR-Q questions, you can be reasonably sure that you can exercise.

It is also highly recommended that you have your blood pressure evaluated. If your reading is over 144/94, talk with your doctor before you start becoming much more physically active.

If your situation changes in terms of medical conditions and any of the above answers change to a YES, it is your responsibility to inform Military In Motion™ of such changes.

"I have read, understood and completed this questionnaire. Any questions I had were answered to my full satisfaction."

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NOTE: Informed Use of the PAR-Q: we assume no liability for persons who undertake physical activity, and if in doubt after completing this questionnaire, consult your doctor prior to physical activity.

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