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
Mode of Administration

Self-administered questionnaire

Life Stage:


Ages 15-69

Selection Rationale

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


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 problems? N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_1a PX150402090100 Do 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) N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_1b PX150402090200 Do 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)? N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_1c PX150402090300 Have you had steroid injections or taken steroid tablets regularly for more than 3 months? N/A
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 the following types: lung/bronchogenic, multiple myeloma (cancer of plasma cells), head, and neck? N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_2b PX150402100300 Are you currently receiving cancer therapy (such as chemotherapy or radiotherapy)? N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_3 PX150402110100 Do you have Heart Disease or Cardiovascular Disease? This includes Coronary Artery Disease, High Blood Pressure, Heart Failure, Diagnosed Abnormality of Heart Rhythm Variable Mapping
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_3a PX150402110200 Do 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) N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_3b PX150402110300 Do you have an irregular heart beat that requires medical management? (e.g. atrial fibrillation, premature ventricular contraction) N/A
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 to or greater than 160/90 mmHg with or without medication? (Answer YES if you do not know your resting blood pressure) N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_3e PX150402110600 Do you have diagnosed coronary artery (cardiovascular) disease and have not participated in regular physical activity in the last 2 months? N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_4 PX150402120100 Do you have any Metabolic Conditions? This includes Type 1 Diabetes, Type 2 Diabetes, Pre-Diabetes N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_4a PX150402120200 Is your blood sugar often above 13.0 mmol/L? (Answer YES if you are not sure) N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_4b PX150402120300 Do 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? N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_4c PX150402120400 Do you have other metabolic conditions (such as thyroid disorders, pregnancyrelated diabetes, chronic kidney disease, liver problems)? N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_5 PX150402130100 Do 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) N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_5a PX150402130200 Do 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) N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_5b PX150402130300 Do you also have back problems affecting nerves or muscles? N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_6 PX150402140100 Do you have a Respiratory Disease? This includes Chronic Obstructive Pulmonary Disease, Asthma, Pulmonary High Blood Pressure N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_6a PX150402140200 Do 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) N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_6b PX150402140300 Has your doctor ever said your blood oxygen level is low at rest or during exercise and/or that you require supplemental oxygen therapy? N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_6c PX150402140400 If 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? N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_6d PX150402140500 Has your doctor ever said you have high blood pressure in the blood vessels of your lungs? N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_7 PX150402150100 Do you have a Spinal Cord Injury? This includes Tetraplegia and Paraplegia N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_7a PX150402150200 Do 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) N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_7b PX150402150300 Do you commonly exhibit low resting blood pressure significant enough to cause dizziness, light-headedness, and/or fainting? N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_7c PX150402150400 Has your physician indicated that you exhibit sudden bouts of high blood pressure (known as Autonomic Dysreflexia)? N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_8 PX150402160200 Have you had a Stroke? This includes Transient Ischemic Attack (TIA) or Cerebrovascular Event Variable Mapping
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_8a PX150402160300 Do 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) N/A
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 in nerves or muscles in the past 6 months? Variable Mapping
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_9 PX150402170300 Do you have any other medical condition not listed above or do you live with two chronic conditions? Variable Mapping
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_9a PX150402170400 Have 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? N/A
PX150402_PhysicalActivity_Readiness_Chronic_MedicalConditions_9b PX150402170500 Do you have a medical condition that is not listed (such as epilepsy, neurological conditions, kidney problems)? N/A
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 heart condition OR high blood pressure? Variable Mapping
PX150402_PhysicalActivity_Readiness_GeneralHealth_2 PX150402020000 Do you feel pain in your chest at rest, during the daily activities of living, OR when you do physical activity? N/A
PX150402_PhysicalActivity_Readiness_GeneralHealth_3 PX150402030000 Do 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). N/A
PX150402_PhysicalActivity_Readiness_GeneralHealth_4 PX150402040000 Have you ever been diagnosed with another chronic medical condition (other than heart disease or high blood pressure)? N/A
PX150402_PhysicalActivity_Readiness_GeneralHealth_5 PX150402050000 Are you currently taking prescribed medications for a chronic medical condition? Variable Mapping
PX150402_PhysicalActivity_Readiness_GeneralHealth_6 PX150402060000 Do 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. N/A
PX150402_PhysicalActivity_Readiness_GeneralHealth_7 PX150402070000 Has your doctor ever said that you should only do medically supervised physical activity? N/A
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