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1. Has your doctor ever said that you have bone or joint problems, such as arthritis, that has been aggravated by exercise or might be made worse by exercise?
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Yes
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2. Do you have high blood pressure?
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Yes
No
3. Do you have low blood pressure?
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Yes
No
4. Do you have Diabetes Mellitus or any other metabolic disease?
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Yes
No
5. Has your doctor ever said you have raised cholesterol (serum level above 6.2mmol/L)?
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Yes
No
6. Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?
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Yes
No
7. Have you ever felt pain in your chest when you do physical exercise?
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Yes
No
8. Is your doctor currently prescribing you any drugs or medication?
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Yes
No
9. Have you ever suffered from unusual shortness of breath at rest or with mild exertion?
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Yes
No
10. Is there any history of Coronary Heart Disease in your family?
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Yes
No
11. Do you often feel faint, have spells of severe dizziness or have lost consciousness?
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Yes
No
12. Do you currently drink more than the average amount of alcohol per week (21 units for men and 14 for women)?
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Yes
No
13. Do you currently smoke?
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Yes
No
14. Do you currently exercise less than 3 times per week?
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Yes
No
15. Are you, or is there any possibility that you might be pregnant?
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Yes
No
16. Do you know of any other reason why you should not participate in a programme of physical activity?
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Yes
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PHYSICAL READINESS ACTIVITY QUESTIONNAIRE (PAR-Q)
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