Physical Activity Readiness Questionnaire (PAR-Q) and Informed Consent 


Before exercising make sure you have an area, approximately 2m x 2m or larger, clear of any hazards in which to exercise safely.  

Please read the following carefully:


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

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

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

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

  5. Do you have a bone or joint problem that could be made worse by a change in your physical activity?

  6. Is your doctor currently prescribing you drugs for your blood pressure or heart?

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


Please tell the instructor if you have answered YES to any of these questions.


By logging on to Zoom and participating in the online class with Hils Curtis I confirm I have read and understood the above PAR-Q questions and informed the instructor if I answered YES to any of these questions and obtained medical clearance if necessary.  Any questions I had were answered to my satisfaction.

Furthermore, I confirm that I provide full consent to participate in the proposed activities and that by doing so I fully appreciate that there are potential risks involved in participation, i.e. episodes of transient light-headedness or possibly loss of consciousness and I wilfully assume these risks.  I understand that I may stop or delay any exercise if I so desire. 


It is strongly recommended that you do not exercise if you have any symptoms of the COVID-19 virus or if you are recovering from the virus or any other illness.