Protocol - Physical Activity Readiness

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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.

Specific Instructions:



The Physical Activity Readiness Questionnaire for Everyone (PAR-Q+) is available by opening this 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.

Protocol Name from Source:

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


Publicly available

Personnel and Training Required


Equipment Needs


Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Self-administered questionnaire

Life Stage:

Adolescent, Adult, Senior


Ages 15-69

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 Text 3061239 CDE Browser
Derived Variables


Process and Review

The 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)


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_Chronic_MedicalConditions_1 PX150402080000 Do you have arthritis, osteoporosis, or back more
problems? show less
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_1a PX150402090100 Do you have difficulty controlling your more
condition with medications or other physician-prescribed therapies? (Answer NO if you are not currently taking medications or other treatments) show less
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_1b PX150402090200 Do you have joint problems causing pain, a more
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)? show less
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_1c PX150402090300 Have you had steroid injections or taken more
steroid tablets regularly for more than 3 months? show less
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_2 PX150402100100 Do you have Cancer of any kind? Variable Mapping
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_2a PX150402100200 Does your cancer diagnosis include any of more
the following types: lung/bronchogenic, multiple myeloma (cancer of plasma cells), head, and neck? show less
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_2b PX150402100300 Are you currently receiving cancer therapy more
(such as chemotherapy or radiotherapy)? show less
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_3 PX150402110100 Do you have Heart Disease or Cardiovascular more
Disease? This includes Coronary Artery Disease, High Blood Pressure, Heart Failure, Diagnosed Abnormality of Heart Rhythm show less
Variable Mapping
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_3a PX150402110200 Do you have difficulty controlling your more
condition with medications or other physician-prescribed therapies? (Answer NO if you are not currently taking medications or other treatments) show less
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_3b PX150402110300 Do you have an irregular heart beat that more
requires medical management? (e.g. atrial fibrillation, premature ventricular contraction) show less
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_3c PX150402110400 Do you have chronic heart failure? Variable Mapping
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_3d PX150402110500 Do you have a resting blood pressure equal more
to or greater than 160/90 mmHg with or without medication? (Answer YES if you do not know your resting blood pressure) show less
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_3e PX150402110600 Do you have diagnosed coronary artery more
(cardiovascular) disease and have not participated in regular physical activity in the last 2 months? show less
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_4 PX150402120100 Do you have any Metabolic Conditions? This more
includes Type 1 Diabetes, Type 2 Diabetes, Pre-Diabetes show less
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_4a PX150402120200 Is your blood sugar often above 13.0 mmol/L? more
(Answer YES if you are not sure) show less
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_4b PX150402120300 Do you have any signs or symptoms of more
diabetes complications such as heart or vascular disease and/or complications affecting your eyes, kidneys, and the sensation in your toes and feet? show less
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_4c PX150402120400 Do you have other metabolic conditions (such more
as thyroid disorders, pregnancyrelated diabetes, chronic kidney disease, liver problems)? show less
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_5 PX150402130100 Do you have any Mental Health Problems or more
Learning Difficulties? This includes Alzheimer's, Dementia, Depression, Anxiety Disorder, Eating Disorder, Psychotic Disorder, Intellectual Disability, Down Syndrome) show less
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_5a PX150402130200 Do you have difficulty controlling your more
condition with medications or other physician-prescribed therapies? (Answer NO if you are not currently taking medications or other treatments) show less
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_5b PX150402130300 Do you also have back problems affecting more
nerves or muscles? show less
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_6 PX150402140100 Do you have a Respiratory Disease? This more
includes Chronic Obstructive Pulmonary Disease, Asthma, Pulmonary High Blood Pressure show less
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_6a PX150402140200 Do you have difficulty controlling your more
condition with medications or other physician-prescribed therapies? (Answer NO if you are not currently taking medications or other treatments) show less
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_6b PX150402140300 Has your doctor ever said your blood oxygen more
level is low at rest or during exercise and/or that you require supplemental oxygen therapy? show less
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_6c PX150402140400 If asthmatic, do you currently have symptoms more
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? show less
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_6d PX150402140500 Has your doctor ever said you have high more
blood pressure in the blood vessels of your lungs? show less
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_7 PX150402150100 Do you have a Spinal Cord Injury? This more
includes Tetraplegia and Paraplegia show less
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_7a PX150402150200 Do you have difficulty controlling your more
condition with medications or other physician-prescribed therapies? (Answer NO if you are not currently taking medications or other treatments) show less
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_7b PX150402150300 Do you commonly exhibit low resting blood more
pressure significant enough to cause dizziness, light-headedness, and/or fainting? show less
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_7c PX150402150400 Has your physician indicated that you more
exhibit sudden bouts of high blood pressure (known as Autonomic Dysreflexia)? show less
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_8 PX150402160200 Have you had a Stroke? This includes more
Transient Ischemic Attack (TIA) or Cerebrovascular Event show less
Variable Mapping
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_8a PX150402160300 Do you have difficulty controlling your more
condition with medications or other physician-prescribed therapies? (Answer NO if you are not currently taking medications or other treatments) show less
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_8b PX150402160400 Do you have any impairment in walking or mobility? N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_8c PX150402160500 Have you experienced a stroke or impairment more
in nerves or muscles in the past 6 months? show less
Variable Mapping
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_9 PX150402170300 Do you have any other medical condition not more
listed above or do you live with two chronic conditions? show less
Variable Mapping
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_9a PX150402170400 Have you experienced a blackout, fainted, or more
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? show less
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_9b PX150402170500 Do you have a medical condition that is not more
listed (such as epilepsy, neurological conditions, kidney problems)? show less
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_9c PX150402170600 Do you currently live with two chronic conditions? N/A
PX150402_PhysicalActivity_Readiness_Date PX150402190000 What is today's date? Variable Mapping
PX150402_PhysicalActivity_Readiness_GeneralHealth_1 PX150402010000 Has your doctor ever said that you have a more
heart condition OR high blood pressure? show less
Variable Mapping
PX150402_PhysicalActivity_Readiness_GeneralHealth_2 PX150402020000 Do you feel pain in your chest at rest, more
during the daily activities of living, OR when you do physical activity? show less
PX150402_PhysicalActivity_Readiness_GeneralHealth_3 PX150402030000 Do you lose balance because of dizziness OR more
have you lost consciousness in the last 12 months? Please answer NO if your dizziness was associated with over-breathing (including during vigorous exercise). show less
PX150402_PhysicalActivity_Readiness_GeneralHealth_4 PX150402040000 Have you ever been diagnosed with another more
chronic medical condition (other than heart disease or high blood pressure)? show less
PX150402_PhysicalActivity_Readiness_GeneralHealth_5 PX150402050000 Are you currently taking prescribed more
medications for a chronic medical condition? show less
Variable Mapping
PX150402_PhysicalActivity_Readiness_GeneralHealth_6 PX150402060000 Do you have a bone or joint problem that more
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. show less
PX150402_PhysicalActivity_Readiness_GeneralHealth_7 PX150402070000 Has your doctor ever said that you should more
only do medically supervised physical activity? show less
PX150402_PhysicalActivity_Readiness_Name PX150402180000 What is the subject's name? N/A
Physical Activity and Physical Fitness
Measure Name:

Physical Activity Readiness

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.


Physical Activity and Physical Fitness, exercise, PARQ