Take part in this Pre Activity Readiness Questionnaire to determine whether you are reay to undertake a new exercise programme.
 
Part 1

Are you 45 years old or older?
yes     no

Have you been inactive for the past 12 months?
yes     no

Has a blood relative has suffered heart disease?
yes     no

Do you have elevated cholesterol levels?
yes     no

Are you a Type II diabetic?
yes     no

Do you have high blood pressure?
yes     no

Part 2

Do you have a heart condition?
yes     no

Have you ever experienced chest pains when exercising?
yes     no

Have you ever experienced chest pains when NOT exercising?
yes     no

Do you feel dizzy / lose your balance / ever lost conciousness?
yes     no

Do you suffer from any joint problems?
yes     no

Do you take prescribed drugs for health reasons?
yes     no