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Physical Activity Readiness Questionnaire

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Physical Activity Readiness Questionnaire (PAR-Q)

Let us assess if you are ready to participate or engage in any physical activities by answering
honestly the Physical Activity Readiness Questionnaire (PAR-Q). Please accomplish the form below
by putting a check mark for every question.
Name: _____________________________________ Date: ____________________
Height:_________m. Weight:___________kg. Age: ____________________
Physician’s Name: _______________________ Contact Number: _____________

PAR-Q (Physical Activity Readiness Questionnaire)

Questions Yes No
Has your doctor ever said that you have a heart condition and that you should only
perform physical activity recommended by a doctor?
Do you feel pain in your chest when you perform physical activity?
In the past month, have you had chest pain when you were not performing any
physical activity?
Do you lose your balance because of dizziness or do you ever lose consciousness?
Do you have a bone or joint problem that could be made worse by a change in your
physical activity?
Is your doctor currently prescribing any medication for your blood pressure or for a
heart condition?
Do you know of any other reason why you should not engage in physical activity?

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.

Source: National Academy of Sports Science. (2020). Physical Activity Readiness Questionnaire.
Retrieved from https://www.nasm.org/docs/default-source/PDF/nasm_par-q-(pdf-21k).pdf

Warm-Up Exercises
Before engaging in any physical activity, it is really important to perform warm-up exercises to
condition our body. In this module, you will be introduced to various warm-up exercises in the course
of our lesson in sports officiating. However, monitoring our Heart Rate is also a prerequisite before
you proceed to strenuous activities. Obtaining the Personal Maximal Heart Rate (PMHR) and Target
Heart Rate (THR) is a must.

Below is the formula to compute the THR at a moderate and vigorous intensities of physical activity:

Moderate (40 - 55%): 220 - age =________________Personal Maximum Heart Rate (PMHR)
PMHR x 0.4 =______________________ bpm PMHR x 0.55 =_____________________
bpm
Vigorous (60 -85%): 220 - age = _________________ Personal Maximum Heart Rate (PMHR)
PMHR x 0.6 =______________________ bpm PMHR x 0.85 = ____________________
bpm
Name:
Age: Sex:
THR: (Moderate Activity) THR: (Vigorous Activity)
Weight: Height:
BMI: Classification:

Physical Fitness Components and Tests Score Interpretation


1. ______________________
 Zipper test ______________ cm
 Sit and Reach ______________ cm
2. ______________________
 3-Minute Step Test ______________ bpm
3. ______________________
 Push-Up ______________ rep
 Basic Plank ______________ sec
4. ______________________
 40-meter Sprint ______________ sec
5. ______________________
 Standing Long Jump ______________ cm
6. ______________________
 Hexagon Agility Test ______________ sec
7. ______________________
 Stick Drop Test ______________ sec
8. ______________________
 Juggling ______________ rep
9. ______________________
 Stork Balance Stand Test ______________ sec
(Refer to appendix A for the interpretation of your scores)

Suggested sequence of administering the test


DAY 1 DAY 2 DAY 3
BMI Basic plank Hexagon Agility Test
3-Minute Test 40-meter sprint Juggling
Push-up Standing Long Jump
Stick drop test Stork Balance
Sit and Reach Zipper Test

Prepared by:
Jeny Vev G.Deroy
Mapeh Teacher

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