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General Health Self Assessment and Program Level Assignment

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There are three (3) “levels” that the participant can start at based upon the following:
1. Your health care provider’s recommendati
2. Self-assessment based upon the description for each level that most closely fits your current personal situation (see description of “levels” below.3. The joint decision of the participant and the program director.
***NOTE:  An individual may be at Level I for the strength component and Level II for cardio-respiratory or vice versa.

LEVEL I
– Described as individuals that are considered deconditioned, obese or whom have not participated in a REGULAR
exerciseprogram within the last 10 years, and are over 45 years of age. They may have one or more health risk factors that may r
equire monitoring. These individuals may also have one or more orthopedic conditions that will require program modification.
LEVEL II – Described as individuals that are apparently healthy, moderately active (participating in regular exercise 2-3 days
a week), no major CAD risk factors.
LEVEL III
– Described as individuals that are apparently healthy, active (participating in regular exercise 4-6 days a week), no
major CAD risk factors.


Regular physical activity is fun and healthy, and increasingly more people are starting to become more active every day. Being more active is very safe for most people. However, some people should check with their doctor before they start becoming much more physically active.
If you are planning to become much more physically active than you are now, start by answering the seven questions in the box below. If you are between the ages of 15 and 69, the PAR-Q will tell you if you should check with your doctor before you start. If you are over 69 years of age, and you are not used to being very active, check with your doctor.

Common sense is your best guide when you answer these questions. Please read the questions carefully and answer each one honestly: YES or NO.

1. Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?

2. Do you feel pain in your chest when you do physical activity?

3. In the past month, have you had chest pain when you were not doing physical activity?

4. Do you lose your balance because of dizziness or do you ever lose consciousness?

5. Do you have a bone or joint problem (for example, back, knee or hip) that could be made worse by a change in your physical activity?

6. Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition?

7. Do you know of any other reason why you should not do physical activity?


If you answered NO honestly to all PAR-Q questions, you can be reasonably sure that you can: • start becoming much more physically active – begin slowly and build up gradually. This is the safest and easiest way to go. • take part in a fitness appraisal – this is an excellent way to determine your basic fitness so that you can plan the best way for you to live actively. It is also highly recommended that you have your blood pressure evaluated. If your reading is over 144/94, talk with your doctor before you start becoming much more physically active.

If you are MALE under the age of 45, or FEMALE under the age of 55 AND/OR you answered “YES” to any of the questions on the PAR-Q then it is strongly recommended that you see your health care provider for medical clearance before starting this or any other exercise program.
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