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PHYSICAL ACTIVITY READINESS QUESTIONNAIRE

The aim of this tool is to identify those individuals with a known disease, or signs or symptoms of disease, who may be at a higher risk of an adverse event during physical activity/exercise/treatment. This checklist is self-administered and self-evaluated.

PLEASE COMPLETE THE QUESTIONS BELOW

IF YOU ANSWERED ‘YES’ to any of the above questions, we recommend you obtain written medical clearance/approval from a GP or appropriate allied health professional stating you are able to safely undertake physical activity/exercise.
IF YOU ANSWERED ‘NO’ to all questions, and you have no other concerns about your health, you may proceed to undertake light moderate intensity physical activity/exercise on completion of the final section of this questionnaire.

This screening tool does not provide advice on a particular matter, nor does it substitute for advice from an appropriately qualified medical professional. No warranty of safety should result from its use. The screening system in no way guarantees against injury or death. No responsibility or liability whatsoever can be accepted by Corporate Personal Fitness Ltd or Corporate Personal Wellbeing Ltd for any loss, damage, illness, injury or death that may arise from any person acting on any statement or information contained in this tool.