WOW PILATES
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Physical Activity Readiness - Questionnaire (PAR-Q)
Are you completing this form for yourself or on behalf of someone else?
Starting a Pilates Programme
If you are between the ages of 15 and 69, this PAR-Q form will tell you if you need to check with your doctor before you significantly change your physical activity patterns. If you are over 69 years of age and are not used to being physically active, check with your doctor.
Please read each of the questions below, answering honestly:
Has your doctor ever said you have a heart condition and you should only do physical activity recommended by your doctor?
Has your doctor ever said you have a heart condition and you should only do physical activity recommended by your doctor?*
Do you feel pain in your chest when you do physical activity?
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?
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 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)?
Do you have a bone or joint problem (for example back, knee or hip)? *
Is your doctor currently prescribing medication for your blood pressure or heart condition?
Is your doctor currently prescribing medication for your blood pressure or heart condition?*
Do you know of any other reason why you should not take part in physical activity?
Do you know of any other reason why you should not take part in physical activity?*
Do you take any medication, including supplements
Do you take any medication, including supplements*
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Version 1.3 | April 2026
