Pregnancy PAR-Q

Pregnancy Par-Q
How many babies?
Would like to be added to the What’s App Group?
I consent to photos being taken during class and used on social media?


Has your doctor ever said that you have a heart condition and that you should only perform physical activity recommended by a doctor?
Do you feel pain in your chest when performing physical activity?
Have you experienced chest pain when NOT performing physical activity in the last month?
Do you lose your balance because of dizziness or have you lost consciousness recently?
Do you have any bone or joint problems such as arthritis, which could be aggravated through physical activity?
Is your doctor currently prescribing you medications for high blood pressure or a heart condition?
Have you had an operation in the last 12 months?
Is there any reason why you should NOT participate in physical activity?

Currently, or during any previous pregnancies have you ever suffered any of the following condition?

Symphysis pubis dysfunction (pain in the central public area)?
Sacrum or Sacroiliac Joint Pain (pain in the very low mid back – top of buttocks)?
Bleeding during or after exercise or any unexplained bleeding?
Carpal Tunnel Syndrome (Wrist/finger/hand forearm -pain/numbness or tingling)?
Knee Pain (Side, front or back)?
History Or Current Episodes of High/low blood pressure, episodes of faintness, dizziness or breathlessness, loss of consciousness?
Upper Back/Neck/Shoulder Pain?
Coccyx Damage or Pain?
Separation of your abdominal muscles?
Incontinence (Urinary or Faecal)?
Prolapse (Uterine, Bladder, Rectum, Vaginal)?
Breast Health/Breast Feeding Issues/Mastitis?
Piles/Haemorrhoids/Varicose Veins/Constipation?
Were you given an Epidural during a previous Birth?
Nerve Damage During a previous Birth (Pudendal)?
Gestational Diabetes?
C-Section wound discomfort or slow healing or ongoing numbness from previous birth?
Anaemia or taking Iron medication?
Joint Pain / Muscle Pain such as arthritis that could be aggravated by physical activity?
Buttock/Piriformis Pain/Sciatica?
Episiotomy Cut, Painful Perineum or Tears?
Any Severe and/or chronic itching?
Water retention / sudden swelling?
Rapid Weight gain?

If you answered no to all the PAR-Q questions, you can be reasonably sure that you can exercise safely and have low risk of having any medical

complications from exercise. It is still important to start slowing and increase gradually. It may also be helpful to have a fitness assessment with a fitness instructor or personal trainer in order to determine where to begin.

PLEASE NOTE: If your health changes so that subsequently you answer YES to any of the above questions, inform your fitness or health professional immediately. Ask whether you should change your physical activity or exercise plan.

Declaration: I have read, understood and accurately completed this questionnaire. I confirm that I am voluntarily engaging in an acceptable level of exercise, and my participation involves a risk of injury.


If you answered yes to one or more questions, are older than age 40 and have been inactive or are concerned about your health, consult a physician before taking a fitness test or substantially increasing your physical activity. You should ask for a medical clearance along with information about specific exercise limitations you may have.

In most cases, you will still be able to do any type of activity you want as long as you adhere to some guidelines.

When to delay the start of an exercise program:

If you are not feeling well because of a temporary illness, such as a cold or a fever, wait until you feel better to begin exercising. If you are or may be pregnant, talk with your doctor before you start becoming more active.

Declaration: Having answered YES to one of the above, I have sought medical advice and my GP has agreed that I may exercise.


PLEASE NOTE: This physical activity clearance is valid for a maximum of 12 months from the date it is completed and becomes invalid if your condition changes so that you would answer YES to any of the 7 questions.



Absolute Contradictions to Exercise During Pregnancy

2. Significant lung disease
3. Incompetent cervix
4. Multiple gestation at risk of premature labour
5. Persistent spotting/bleeding or Placenta Praevia
6. Premature labour
7. Ruptured membranes
8. Uncontrolled Type 1 Diabetes or Gestational Diabetes
9. Evidence of Intrauterine Growth Restriction
10. Pregnancy-induced Hypertension or Pre-Eclampsia
11. Uncontrolled epileptic fits / seizures
12. Any degree of Placenta Praevia