ACL Graft Choice Risk Factors ACL-RSI Calculator (Return to Sport Readiness)AHA Pre-Participation Screening AOFAS Ankle-Hindfoot Scale ASES Elbow Score ASES Shoulder Score Acute:Chronic Workload Ratio (ACWR)Altitude Gain Guidelines Ankle Syndesmosis (High Ankle Sprain)Athlete's Heart vs HCM Beighton Score (Joint Hypermobility)Borg CR-10 Scale Borg RPE Scale (6–20)Brighton Criteria (BJHS)Buffalo Concussion Treadmill Test (BCTT)Child SCAT6 (Age 8–12)Commotio Cordis Protocol Cumberland Ankle Instability Tool (CAIT)DASH (UE Disability Index)Doha Groin Agreement ESC HCM SCD Risk Score ESC Pre-Participation Screening Energy Availability Calculator FAI Syndrome (Warwick)FAOS (Foot and Ankle Outcome Score)Fear-Avoidance Beliefs Questionnaire (FABQ)Female Athlete Triad Risk Foot Posture Index (FPI-6)Foot and Ankle Ability Measure (FAAM)Functional Movement Screen (FMS)Graduated Return-to-Play (GRTP) Protocol HAGOS (Hip and Groin Outcome Score)Hamstring Asymmetry Index Heat Index (Apparent Temp)Hip Outcome Score (HOS)Hooper Index (Athlete Wellness)I-PRRS (Psychological Readiness)IKDC (Objective Examination)IKDC (Subjective Knee Evaluation)Injury Severity KJOC Shoulder & Elbow Score KOOS (Knee Outcome Score)KOOS-PS (Physical Function Short Form)Kujala (Anterior Knee Pain Scale)LEAF-Q (LEA Screening)Lake Louise AMS Score Limb Symmetry Index (LSI)Little League Elbow Grading Lysholm Knee Score Marx Activity Rating Scale (MARS)Mayo Elbow Performance Score (MEPS)Modified Schober Test NEXUS C-Spine Criteria Neck Disability Index (NDI)One-Rep Max Estimator Osgood-Schlatter Severity Oswestry Disability Index (ODI)Ottawa Knee Rules Oxford Elbow Score Oxford Shoulder Score PAR-Q+ Readiness Questionnaire PARS-3 Youth Readiness Patellar Instability Severity Score Pitch Smart Guidelines (USA Baseball)Pittsburgh Knee Rules Post-Concussion Symptom Scale (PCSS)QuickDASH (Shoulder & UE)RED-S CAT (Clinical Assessment)Re-injury Anxiety Inventory (RIAI)Relative Age Effect (RAE)Return-to-Play Battery SANE Score (Single Assessment)SCAT6 (Sport Concussion Assessment Tool 6)SCOAT6 (Sub-acute and Office Follow-up)SEAQ-I Appetite Questionnaire STarT Back Screening Tool Session RPE (Internal Load)Sever's Disease Activity Single-Leg Hop Test Battery Standardized Assessment of Concussion (SAC)Steroid Equivalence Calculator Stinger / Burner Grading Sweat Rate and Rehydration TSK-11 (Tampa Scale for Kinesiophobia)TUE Criteria Checklist Tanner Stage Assessment Tegner Activity Scale (TAS)Training Monotony and Strain UCL Injury Risk (Medial Elbow)VISA-A (Achilles Tendinopathy)VISA-P Scale (Patellar Tendinopathy)VO2 Max VOMS (Vestibular/Ocular-Motor Screening)WADA Prohibited List Checker WBGT (Wet Bulb Globe Temp)WORC (Rotator Cuff Index)WOSI (Shoulder Instability Index)Wilks Score (Relative Strength)Wind Chill Index hEDS Diagnostic Criteria (2017)iHOT-33 (International Hip Outcome Tool)

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PAR-Q+ (Physical Activity Readiness Plus)

Physical Activity Readiness (PAR-Q+)

Ready for Activity

No limitations identified

1. Has your doctor ever said that you have a heart condition OR high blood pressure?

2. Do you feel pain in your chest at rest, during your daily activities of living, OR when you do physical activity?

3. Do you lose balance because of dizziness OR have you lost consciousness in the last 12 months?

4. Have you ever been diagnosed with another chronic medical condition (other than heart disease or high blood pressure)?

5. Are you currently taking prescribed medications for a chronic medical condition?

6. Do you currently have (or have had within the past 12 months) a bone, joint, or soft tissue problem that could be made worse by becoming more physically active?

7. Has your doctor ever said that you should only do medically supervised physical activity?

Guidelines & Evidence

Verified

Last Review: 2026

When to Use

Pre-participation screening for individuals aged 15-69 years who are planning to start a new exercise program or increase exercise intensity.

Initial risk stratification in primary care, sports medicine, and fitness settings to identify individuals requiring medical clearance before exercise.

Annual health screening for athletes and active individuals to detect new or changing health conditions that may affect exercise safety.

Pre-operative assessment for patients undergoing elective surgery to evaluate readiness for postoperative rehabilitation.

Screening for participants in community-based exercise programs, cardiac rehabilitation, and health promotion initiatives.

Self-administered or clinician-guided assessment to identify contraindications to maximal exercise testing.

Key Indication - Pre-Exercise Medical Clearance

The PAR-Q+ is the recommended pre-participation screening tool by the American College of Sports Medicine (ACSM), Canadian Society for Exercise Physiology (CSEP), and the World Health Organization (WHO). It is designed to identify individuals with known cardiovascular, metabolic, or renal disease, or signs/symptoms suggestive of these conditions, who require medical clearance before engaging in exercise. The tool has high sensitivity (99%) for detecting individuals who should consult a physician prior to exercise.

When Not to Use / Contraindications

Individuals under 15 years of age (use the PAR-Q for children/adolescents if available).

Individuals over 69 years of age who are not accustomed to regular exercise (use the EASY tool or physician referral).

Patients with acute unstable medical conditions (e.g., acute myocardial infarction, unstable angina, acute pulmonary embolism) requiring immediate medical attention.

Pregnant women (use the PARmed-X for Pregnancy).

Individuals with known contraindications to exercise testing (e.g., acute systemic infection, severe aortic stenosis, uncontrolled arrhythmias).

Situations where the individual is unable to provide informed consent or complete the questionnaire reliably (e.g., cognitive impairment, language barrier).

Last Comprehensive Review: 2026