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Par Q

This document contains a PAR-Q questionnaire to screen individuals before engaging in physical activity. It asks 8 questions regarding medical history and symptoms related to heart conditions, blood pressure, chest pain, shortness of breath, fatigue, weight loss, joint pain, and other reasons why physical activity should be avoided. Any answer of "YES" indicates the individual should see a healthcare provider before being physically active, as the university assumes no liability for those who undertake activity without medical clearance.

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70 views3 pages

Par Q

This document contains a PAR-Q questionnaire to screen individuals before engaging in physical activity. It asks 8 questions regarding medical history and symptoms related to heart conditions, blood pressure, chest pain, shortness of breath, fatigue, weight loss, joint pain, and other reasons why physical activity should be avoided. Any answer of "YES" indicates the individual should see a healthcare provider before being physically active, as the university assumes no liability for those who undertake activity without medical clearance.

Uploaded by

lei dc
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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LYCEUM OF THE PHILIPPINES UNIVERSITY

College of Arts and Sciences

PAR – Q
PHILIPPINE PHYSICAL ACTIVITY READINESS EXAM

(adapted: Bonoan, Bernardo, 2006)

Name: Alleah Lou DC. Balingit

Date: 12/10/22

Signature:

Witness: Malou Balingit

Signature of Parent/ Guardian:

LPU-PE Department assumes no liability for persons who undertake physical activity and if in doubt after
completing the questionnaire, consult your doctor before physical activity.

“I have read, understood, and completed this questionnaire. Any question I had were answered to my
satisfaction”

YES NO

1. Has your doctor ever diagnosed you to have a heart condition and [ ] [/]

that you should only do physical activity recommended by a doctor?

(Sinabihan ka na ba ng doktor mo na ikaw ay may karamdaman sa puso at


ang dapat mo lang gawing pisikal ay ang rekomendado ng doktor?)

2. Is your doctor currently prescribing drugs for your blood pressure or heart [ ] [/]

condition?

(Kasalukuyan ka bang umiinon ng gamot na inirineseta ng doktor mo para

sa mataas na presyon ng dugo o karamdaman sa puso?)

3. Do you experience pain or discomfort in the chest, neck and jaw area [ ] [/]

during mild physical activity or at rest?

(Nakakaramdam ka ba ng sakit o karamdaman sa dibdib, leeg o gawing panga

habang gumagawa ng malumanay na gawaing pisikal o kaya nagpapahinga?)

4. Do you experience shortness of breath with mild physical exertion? [ ] [/ ]

(Nakakaramdam ka ba ng kahirapan sa paghinga habang gumagawa

ng malumanay na gawaing pisikal)

YES NO

5. Do you get tired frequently even when not doing physical activity or [ ] [ /]

are you frequently drowsy?

(Madalas ka bang napapagod maski na walang ginagawang pisikal o

madalas ka bang nananamlay?)

6. Have you lost weight rapidly recently with or without feelings of extreme [ ] [/]

hunger?

(Namayat o nawalan ka ba ng timbang ng sobrang bilis kamakailan, o ng

hindi nakakaramdam ng matinding gutom?


7. Do you have a bone or joint pain that increases with movement? Is there a [ ] [/]

sudden increase in pain when bending or touching the joint?

(Ikaw ba ay may nararamdaman na sakit sa buto o kasu-kasuan na lumalala

pag gumalaw? May biglang pagtindi ng sakit ba kung binabaluktot o

hinahawakan ang kasu-kasuan?)

8. Do you know of any other reason why you should not do physical activity? [ ] [/]

(Meron ka bang alam na iba pang dahilan kung bakit hindi ka dapat

gumawa ng kahit ano mang gawaing pisikal?

If you answered YES to any question, please see a health care provider. Thank you.

(Pag may sinagutan kayo ng “YES”, maaari lang magpakita sa isang health care provider. Salamat.)

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