About this template
The Physical Activity Readiness Questionnaire (PAR-Q) is an essential tool for fitness professionals, personal trainers, and wellness coaches to ensure client safety. By collecting critical health history and identifying potential cardiovascular or musculoskeletal risks before beginning a new exercise regimen, you protect both your clients and your business. This template streamlines the intake process, allowing you to gather necessary medical background, emergency contact details, and fitness goals in a professional, organized manner.
Doc2Form makes it easy to deploy this screening tool immediately. Instead of relying on paper forms or manual data entry, you can send this digital questionnaire to clients before their first session. The form covers key safety markers, including heart health, joint issues, and current medications, while providing a clear space for clients to acknowledge their health status. This proactive approach ensures that you have the information needed to tailor safe, effective workouts for every individual you train.
Key features
- Standardized health screening questions to identify exercise risks.
- Captures vital contact and emergency information.
- Includes a clear client acknowledgement of health status.
- Mobile-friendly design for easy completion on any device.
- Easily customizable to include your specific gym or studio branding.
Use cases
- Personal training client onboarding.
- Group fitness class registration requirements.
- Physical therapy patient intake screening.
- Corporate wellness program enrollment.
What this form collects
- Full Name (Short answer)Enter your full legal name.
- Date of Birth (Date)Used to help us understand your specific health needs.
- Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor? (Multiple choice)Answer based on medical advice you have received.
- Do you feel pain in your chest when you do physical activity? (Multiple choice)Consider any discomfort experienced during exercise.
- In the past month, have you had chest pain when you were not doing physical activity? (Multiple choice)Report any resting chest pain.
- Do you lose your balance because of dizziness or do you ever lose consciousness? (Multiple choice)Include any history of fainting or lightheadedness.
- Do you have a bone or joint problem that could be made worse by a change in your physical activity? (Multiple choice)Examples include back, knee, or hip issues.
- Are you currently taking any prescribed medication for blood pressure or a heart condition? (Multiple choice)Please list any relevant medications in the comments section if you answer yes.
- What are your primary fitness goals? (Paragraph)e.g., Weight loss, muscle gain, improved endurance, flexibility.
- Emergency Contact Name (Short answer)Name of the person we should contact in an emergency.
- Emergency Contact Phone (Short answer)Phone number for your emergency contact.
- Terms and Conditions (Checkboxes)By checking this box, you confirm that the information provided is accurate and you understand the risks associated with physical activity.
FAQ
Why is the PAR-Q important?
It identifies individuals who may need medical clearance before starting an exercise program, significantly reducing the risk of injury or health complications during physical activity.
Can I add my own questions to this template?
Yes. Once you load this template into your Google Drive, you can add, remove, or edit any questions to better suit your specific training style or facility requirements.
How do I share this with my clients?
You can share the form via a direct link, email it to your client list, or embed it directly onto your website for new members to complete during sign-up.
Does this form store health data securely?
The form data is stored in your Google Drive. Ensure you follow your organization's internal data privacy policies and any relevant local regulations when handling sensitive health information.
Get this form in your Google Drive
Save a copy to your Google Drive with one click (uses 1 credit). Or build from a PDF or description in the app.