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PHYSICAL ACTIVITY READINESS QUESTIONNAIRE

PHYSICAL ACTIVITY READINESS QUESTIONNAIRE

If you have answered "Yes" to one or more of the above questions, consult your physician before engaging in physical activity. Tell your physician which questions you answered "Yes" to. After a medical evaluation, seek advice from your physician on what type of activity is suitable for your current condition.

GENERAL & MEDICAL QUESTIONNAIRE

Occupational Questions

Recreational Questions

(Golf, Tennis, skiing, Etc..)
(Reading, Gardening, Working on cars, Surfing the internet, Etc..)

Medical Questions

(ankle, knee, hip, back, shoulder, etc..)
(Coronary heart disease, heart disease, coronary artery disease, high blood pressure, high cholesterol, diabetes, Etc..)
(Coronary heart disease, heart disease, coronary artery disease, high blood pressure, high cholesterol, diabetes, Etc..)