PHYSICAL ACTIVITY READINESS QUESTIONNAIRE
Please answer the questions below. All information given will be treated in confidence.
Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?	Yes	No
Have you ever felt pain in your chest when you were NOT doing physical activity?	Yes	No
Have you ever felt pain or had spells of dizziness?	Yes	No
Have you a joint problem that could be made worse by exercise?	Yes	No
Have you ever been advised that you have high blood pressure?	Yes	No
Are you a new or expectant mother?	Yes	No
Is there any other reason why you should not participate in physical activity?	Yes	No
If you have answered 'yes' to one or more of the above questions, it is recommended that you take advice from your doctor before commencing physical activity.