Protocol - Physical Activity Readiness

Add to Toolkit

Protocol Name from Source:

Physical Activity Readiness Questionnaire for Everyone (PAR-Q+)


Publicly available


A brief set of self-administered physical and medical questions used to determine if the person needs to visit a doctor or fitness expert prior to an increase in physical activity.


The Physical Activity Readiness Questionnaire for Everyone (PAR-Q+) is available by opening this [link[www.csep.ca/cmfiles/publications/parq/parqplussept2011version_all.pdf|link]]. It is also available at the Canadian Society for Exercise Physiology website. The PAR-Q+ questionnaire differs only slightly from the previously recommended PAR-Q. Probes were added to allow health care providers to obtain more specific information on "yes" responses that would exclude participants from exercise on the PAR-Q. The additional information is intended to decrease unnecessary exclusions.

Personnel and Training Required


Equipment Needs



Requirement CategoryRequired
Average time of greater than 15 minutes in an unaffected individualNo
Major equipmentNo
Specialized requirements for biospecimen collectionNo
Specialized trainingNo

Mode of Administration


Life Stage:

Adolescent, Adult, Senior

Specific Instructions:


Research Domain Information

Release Date:

October 1, 2015


A measure to determine if the person needs to see a doctor prior to an increase in physical activity or fitness appraisal.


To be used as a screener in determining an individual’s ability to safely participate in physical activity assessments without physician approval.

Selection Rationale

This protocol is widely accepted for use in physical activity research.


English, French


Common Data Elements (CDE)Person Physical Activity Readiness Assessment Description Text3061239CDE Browser

Process and Review

The [link[phenx.org/node/62|Expert Review Panel #1]] reviewed the measures in the Anthropometrics, Diabetes, Physical Activity and Physical Fitness, and Nutrition and Dietary Supplements domains.

Guidance from the ERP includes:

• Updated the protocol (same source)

Not back-compatible: requires changes to Data Dictionary

Previous version in Toolkit archive ([link[www.phenxtoolkit.org/index.php?pageLink=browse.archive.protocols&id=150000|link]])


Physical Activity Readiness Questionnaire for Everyone (PAR-Q+) © 2011. Used with permission from the Canadian Society for Exercise Physiology.

General References

Jamnik VJ, Warburton DER, Makarski J, McKenzie DC, Shephard RJ, Stone J, and Gledhill N. (2011). Enhancing the effectiveness of clearance for physical activity participation; background and overall process. Appl Physiol Nutr Metab, 36(S1):S3-S13.

Warburton DER, Gledhill N, Jamnik VK, Bredin SSD, McKenzie DC, Stone J, Charlesworth S, and Shephard RJ. (2011). Evidence-based risk assessment and recommendations for physical activity clearance; Consensus Document. Appl Physiol Nutr Metab 36(S1):S266-s298

Protocol ID:



Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX150402_PhysicalActivity_Readiness_GeneralHealth_1PX150402010000Has your doctor ever said that you have a heart condition OR high blood pressure?4N/A
PX150402_PhysicalActivity_Readiness_GeneralHealth_2PX150402020000Do you feel pain in your chest at rest, during the daily activities of living, OR when you do physical activity?4N/A
PX150402_PhysicalActivity_Readiness_GeneralHealth_3PX150402030000Do you lose balance because of dizziness OR have you lost consciousness in the last 12 months? Please answer NO if your dizziness was associated with over-breathing (including during vigorous exercise).4N/A
PX150402_PhysicalActivity_Readiness_GeneralHealth_4PX150402040000Have you ever been diagnosed with another chronic medical condition (other than heart disease or high blood pressure)?4N/A
PX150402_PhysicalActivity_Readiness_GeneralHealth_5PX150402050000Are you currently taking prescribed medications for a chronic medical condition?4N/A
PX150402_PhysicalActivity_Readiness_GeneralHealth_6PX150402060000Do you have a bone or joint problem that could be made worse by becoming more physically active? Please answer NO if you had a joint problem in the past, but it does not limit your current ability to be physically active. For example, knee, ankle, shoulder or other.4N/A
PX150402_PhysicalActivity_Readiness_GeneralHealth_7PX150402070000Has your doctor ever said that you should only do medically supervised physical activity?4N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_1PX150402080000Do you have arthritis, osteoporosis, or back problems?4N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_1aPX150402090100Do you have difficulty controlling your condition with medications or other physician-prescribed therapies? (Answer NO if you are not currently taking medications or other treatments)4N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_1bPX150402090200Do you have joint problems causing pain, a recent fracture or fracture caused by osteoporosis or cancer, displaced vertebra (e.g., spondylolisthesis), and/ or spondylolysis/pars defect (a crack in the bony ring on the back of the spinal column)?4N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_1cPX150402090300Have you had steroid injections or taken steroid tablets regularly for more than 3 months?4N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_2PX150402100100Do you have Cancer of any kind?4N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_2aPX150402100200Does your cancer diagnosis include any of the following types: lung/bronchogenic, multiple myeloma (cancer of plasma cells), head, and neck?4N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_2bPX150402100300Are you currently receiving cancer therapy (such as chemotherapy or radiotherapy)?4N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_3PX150402110100Do you have Heart Disease or Cardiovascular Disease? This includes Coronary Artery Disease, High Blood Pressure, Heart Failure, Diagnosed Abnormality of Heart Rhythm4N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_3aPX150402110200Do you have difficulty controlling your condition with medications or other physician-prescribed therapies? (Answer NO if you are not currently taking medications or other treatments)4N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_3bPX150402110300Do you have an irregular heart beat that requires medical management? (e.g. atrial fibrillation, premature ventricular contraction)4N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_3cPX150402110400Do you have chronic heart failure?4N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_3dPX150402110500Do you have a resting blood pressure equal to or greater than 160/90 mmHg with or without medication? (Answer YES if you do not know your resting blood pressure)4N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_3ePX150402110600Do you have diagnosed coronary artery (cardiovascular) disease and have not participated in regular physical activity in the last 2 months?4N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_4PX150402120100Do you have any Metabolic Conditions? This includes Type 1 Diabetes, Type 2 Diabetes, Pre-Diabetes4N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_4aPX150402120200Is your blood sugar often above 13.0 mmol/L? (Answer YES if you are not sure)4N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_4bPX150402120300Do you have any signs or symptoms of diabetes complications such as heart or vascular disease and/or complications affecting your eyes, kidneys, and the sensation in your toes and feet?4N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_4cPX150402120400Do you have other metabolic conditions (such as thyroid disorders, pregnancyrelated diabetes, chronic kidney disease, liver problems)?4N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_5PX150402130100Do you have any Mental Health Problems or Learning Difficulties? This includes Alzheimer┬┐┬┐s, Dementia, Depression, Anxiety Disorder, Eating Disorder, Psychotic Disorder, Intellectual Disability, Down Syndrome)4N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_5aPX150402130200Do you have difficulty controlling your condition with medications or other physician-prescribed therapies? (Answer NO if you are not currently taking medications or other treatments)4N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_5bPX150402130300Do you also have back problems affecting nerves or muscles?4N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_6PX150402140100Do you have a Respiratory Disease? This includes Chronic Obstructive Pulmonary Disease, Asthma, Pulmonary High Blood Pressure4N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_6aPX150402140200Do you have difficulty controlling your condition with medications or other physician-prescribed therapies? (Answer NO if you are not currently taking medications or other treatments)4N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_6bPX150402140300Has your doctor ever said your blood oxygen level is low at rest or during exercise and/or that you require supplemental oxygen therapy?4N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_6cPX150402140400If asthmatic, do you currently have symptoms of chest tightness, wheezing, laboured breathing, consistent cough (more than 2 days/week), or have you used your rescue medication more than twice in the last week?4N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_6dPX150402140500Has your doctor ever said you have high blood pressure in the blood vessels of your lungs?4N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_7PX150402150100Do you have a Spinal Cord Injury? This includes Tetraplegia and Paraplegia4N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_7aPX150402150200Do you have difficulty controlling your condition with medications or other physician-prescribed therapies? (Answer NO if you are not currently taking medications or other treatments)4N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_7bPX150402150300Do you commonly exhibit low resting blood pressure significant enough to cause dizziness, light-headedness, and/or fainting?4N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_7cPX150402150400Has your physician indicated that you exhibit sudden bouts of high blood pressure (known as Autonomic Dysreflexia)?4N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_8PX150402160200Have you had a Stroke? This includes Transient Ischemic Attack (TIA) or Cerebrovascular Event4N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_8aPX150402160300Do you have difficulty controlling your condition with medications or other physician-prescribed therapies? (Answer NO if you are not currently taking medications or other treatments)4N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_8bPX150402160400Do you have any impairment in walking or mobility?4N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_8cPX150402160500Have you experienced a stroke or impairment in nerves or muscles in the past 6 months?4N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_9PX150402170300Do you have any other medical condition not listed above or do you live with two chronic conditions?4N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_9aPX150402170400Have you experienced a blackout, fainted, or lost consciousness as a result of a head injury within the last 12 months OR have you had a diagnosed concussion within the last 12 months?4N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_9bPX150402170500Do you have a medical condition that is not listed (such as epilepsy, neurological conditions, kidney problems)?4N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_9cPX150402170600Do you currently live with two chronic conditions?4N/A
PX150402_PhysicalActivity_Readiness_NamePX150402180000What is the subject's name?4N/A
PX150402_PhysicalActivity_Readiness_DatePX150402190000What is today's date?4N/A