Physical Activity Readiness Questionnaire
If you mark any of the following statements, please talk with your physician or other appropriate health care provider before engaging in exercise.
__ I have a heart condition and my health care professional recommends only medically supervised physical activity.
__ During or right after I exercise, I often have pains or pressure in my neck, left shoulder, or arm.
__ I have developed chest pain within the last month.
__ I tend to lose consciousness or fall over due to dizziness.
__ I feel extremely breathless after mild exertion.
__ My health care provider recommended that I take medicine for high blood pressure or a heart condition.
__ I have bone or joint problems that limit my ability to do moderate-intensity physical activity.
__ I have a medical condition or other physical reason not mentioned here that might need special attention in an exercise program.
__ I am pregnant and my health care professional hasn’t given me the OK to be physically active.