Physical Activity Readiness Questionnaire (PAR-Q) Form Preview

About This Template

The Physical Activity Readiness Questionnaire (PAR-Q) template is designed to help you quickly create professional fitness & sports forms with ease. With 15 pre-configured fields, this template provides everything you need to get started collecting responses immediately.

Best Used For

  • Streamlining data collection
  • Professional information gathering
  • Automating your workflow

Included Fields (15)

Full Name
Short Text
Date of Birth
Date
Phone Number
Phone
Email Address
Email
Emergency Contact Name
Short Text
Emergency Contact Phone
Phone
Has a doctor ever said you have a heart condition?
Multiple Choice
Do you feel pain in your chest during physical activity?
Multiple Choice
Have you had chest pain when not doing physical activity?
Multiple Choice
Do you lose balance due to dizziness or lose consciousness?
Multiple Choice
Do you have bone or joint problems that could worsen with exercise?
Multiple Choice
Are you currently taking medication for blood pressure or heart?
Multiple Choice
Do you know of any other reason you should not exercise?
Multiple Choice
If you answered YES to any question, please explain
Long Text
Signature
E Signature

Ready to build your physical activity readiness questionnaire (par-q) online form?

Start using this free fitness & sports forms template in seconds. No signup required. Free forever with unlimited responses.

Build a free form with this template
Use This Template
Template Preview
Use This Template