Skip to main content


What it measures:

In the past, the likelihood of receiving exercise authorization from a physician had more to do with the physician’s personal views on exercise than the health status of the patient. (Hoffman, et al, 2016; Jamnik et al., 2011)  For example, physicians who exercised as often as 4.2 hours/week were more likely to allow exercise prescription regardless of patient condition than were doctors who did not exercise regularly.


The PAR-Q was developed in an effort to standardize activity screening for persons aged 15-69 years. (Chisolm, et al, 1975).  The revised PAR-Q (r-PAR-Q) was developed to improve specificity of the PAR-Q  by clarifying language. (Shephard, et al, 1981;  Cardinal et. al. 1996)  There are general screening questions which become more specific to each patient based on their answers.  


The PAR-Q+ is a 7-step questionnaire for use with persons of all ages.  It screens for evidence of risk factors during moderate physical activity and reviews family history and disease severity. If a person answers yes to one or more questions, the individual should complete a thorough follow-up of medical questions and consult a physician about beginning physical activity. An interactive on-line version for medical follow-up questions is provided by the ePARmed-X+ (Jamnik, et al, 2011; Bredin, et al, 2013).


If a consult with a physician is not recommended by the PAR-Q+, then the individual is cleared to participate in physical activity. (Jamnik, Gledhill, & Shepard, 2007; Joy & Pescatello, 2016)

Target Population:

This summary contains information on use of the r-PAR-Q and PAR-Q+ for patients or clients with conditions such as cardiovascular disease, history of cancers, chronic respiratory diseases, cerebrovascular accident or spinal injury, and their ability to participate in physical activity.

You Might Also Like...


Physical Therapist Clinical Practice Guideline for the Management of Individuals With Heart Failure

Jan 23, 2020

This document will guide physical therapist practice in the examination and treatment of patients with a known diagnosis of heart failure.


Chronic Heart Failure in Adults: Diagnosis and Management [NG106]

Oct 25, 2018

This guideline provides recommendations related to the diagnosis and management of patients with chronic heart failure in people aged 18 and over.


Guidelines for the Prevention, Detection, and Management of Heart Failure

Oct 01, 2018

This guideline provides recommendations for the management of patients with heart failure.