ParQ - The Tor Clinic

Physical Activity Readiness Questionnaire (PAR Q)

Your well-being is our priority. Before engaging in any sports massage or strength and conditioning sessions, we kindly ask you to complete this Physical Activity Readiness Questionnaire (PAR Q). Your honest responses will help ensure a safe and tailored experience. If you answer “Yes” to any question, please provide additional details in the space provided.

Your name

Contact number

1. Heart Problems?

yes No

If “Yes,” please provide details on the nature and current status of your heart condition.

2. Circulatory Problems?

yes No

If “Yes,” please elaborate on the nature and current status of your circulatory issues.

3. Blood Pressure Problems?

yes No

If “Yes,” please specify your blood pressure condition, and if applicable, note any recent changes.

4. Recent Surgery or Treatment?

yes No

If “Yes,” please provide details regarding the type of surgery or treatment, along with the date and any ongoing considerations.

Any Other Concerns? Is there any other reason you believe may prevent you from participating in sports massage treatment or strength & conditioning? Please provide details: