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    • Hours
    • Directions
  • About
    • Facility Gallery
    • TCR Cafe
    • Employment Opportunities
    • Hours
    • Directions
  • Membership
  • Fitness
    • Personal Training
    • Group Classes
    • Fitness Center
  • Tennis
    • Junior Tennis
    • Adult Programs
    • Court Rentals
    • Private Lessons
    • Tennis Camp
    • Tennis Staff and Coaches
    • Tennis Courts
  • Swimming
    • Swim School
    • Private Lessons
  • Golf
    • Junior Golf
    • Golf Camp
    • Private Lessons
    • Golf Simulator
    • Golf Instructors
  • Camps
    • Tennis Camp
    • Golf Camp
    • Young Olympians Camp
    • Transportation
    • Camp Registration Form
  • Kids Programs
    • After School Learn and Play
    • TCR Camps
    • Swim School
    • Junior Golf Programs
    • Junior Tennis Programs
    • Parties And Events
  • Spa
  • Contact
    • Hours
    • Directions
the club of riverdale logo
  • About
    • Facility Gallery
    • TCR Cafe
    • Employment Opportunities
    • Hours
    • Directions
  • Membership
  • Fitness
    • Personal Training
    • Group Classes
    • Fitness Center
  • Tennis
    • Junior Tennis
    • Adult Programs
    • Court Rentals
    • Private Lessons
    • Tennis Camp
    • Tennis Staff and Coaches
    • Tennis Courts
  • Swimming
    • Swim School
    • Private Lessons
  • Golf
    • Junior Golf
    • Golf Camp
    • Private Lessons
    • Golf Simulator
    • Golf Instructors
  • Camps
    • Tennis Camp
    • Golf Camp
    • Young Olympians Camp
    • Transportation
    • Camp Registration Form
  • Kids Programs
    • After School Learn and Play
    • TCR Camps
    • Swim School
    • Junior Golf Programs
    • Junior Tennis Programs
    • Parties And Events
  • Spa
  • Contact
    • Hours
    • Directions
  • About
    • Facility Gallery
    • TCR Cafe
    • Employment Opportunities
    • Hours
    • Directions
  • Membership
  • Fitness
    • Personal Training
    • Group Classes
    • Fitness Center
  • Tennis
    • Junior Tennis
    • Adult Programs
    • Court Rentals
    • Private Lessons
    • Tennis Camp
    • Tennis Staff and Coaches
    • Tennis Courts
  • Swimming
    • Swim School
    • Private Lessons
  • Golf
    • Junior Golf
    • Golf Camp
    • Private Lessons
    • Golf Simulator
    • Golf Instructors
  • Camps
    • Tennis Camp
    • Golf Camp
    • Young Olympians Camp
    • Transportation
    • Camp Registration Form
  • Kids Programs
    • After School Learn and Play
    • TCR Camps
    • Swim School
    • Junior Golf Programs
    • Junior Tennis Programs
    • Parties And Events
  • Spa
  • Contact
    • Hours
    • Directions

TCR PAR-Q+

Fill this form out prior to your complimentary fitness assessment.

Participant Information

Name(Required)

The health benefits of regular physical activity are clear; more people should engage in physical activity every day of the week. Participating in physical activity is very safe for MOST people. This questionnaire will tell you whether it is necessary for you to seek further advice from your doctor OR a qualified exercise professional before becoming more physically active.

Preferred Days & Times

Day(Required)
Time(Required)

General Health Questions

Has your doctor ever said that you have a heart condition or high blood pressure?(Required)
Do you feel pain in your chest at rest, during your daily activities of living, or when you do physical activity?(Required)
Do you lose balance because of dizziness or have you lost consciousness in the last 12 months? Please answer no if your dizziness was associated with over-breathing (including vigorous exercise)(Required)
Have you ever been diagnosed with another chronic medical condition (other than heart disease or high blood pressure)?(Required)
Are you currently taking prescribed medications for a chronic medical condition?(Required)
Do you currently have (or have had within the past 12 months) a bone, joint, or soft tissue (muscle, ligament, or tendon) problem that could be made worse by becoming more physically active? Please answer NO if you had a problem in the past, but it does not limit your current ability to be physically active.(Required)
Has your doctor ever said that you should only do medically supervised physical activity?(Required)

Follow-Up Medical Questions

1. Do you have Arthritis, Osteoporosis, or Back Problems?
1a. Do you have difficulty controlling your condition with medications or other physician-prescribed therapies? (Answer NO if you are not currently taking medications or other treatments).
1b. Do you have joint problems causing pain, a recent fracture or fracture caused by osteoporosis or cancer, displaced vertebra (e.g., spondylolisthesis), and/or spondylolysis/pars defect (a crack in the bony ring on the back of the spinal column)?
1c. Have you had steroid injections or taken steroid tablets regularly for more than 3 months?
2. Do you currently have Cancer of any kind?
2a. Does your cancer diagnosis include any of the following types: lung/bronchogenic, multiple myeloma (cancer of plasma cells), head, and/or neck?
2b. Are you currently receiving cancer therapy (such as chemotherapy or radiotherapy)?
3. Do you have a Heart or Cardiovascular Condition? This includes Coronary Artery Disease, Heart Failure, Diagnosed Abnormality of Heart Rhythm.
3a. Do you have difficulty controlling your condition with medications or other physician-prescribed therapies? (Answer NO if you are not currently taking medications or other treatments)
3b. Do you have an irregular heart beat that requires medical management? (e.g., atrial fi brillation, premature ventricular contraction)
3c. Do you have chronic heart failure?
3d. Do you have diagnosed coronary artery (cardiovascular) disease and have not participated in regular physical activity in the last 2 months?
4. Do you have High Blood Pressure?
4a. Do you have difficulty controlling your condition with medications or other physician-prescribed therapies? (Answer NO if you are not currently taking medications or other treatments)
4b. Do you have a resting blood pressure equal to or greater than 160/90 mmHg with or without medication? (Answer YES if you do not know your resting blood pressure)
5. Do you have any Metabolic Conditions? This includes Type 1 Diabetes, Type 2 Diabetes, Pre-Diabetes
5a. Do you often have difficulty controlling your blood sugar levels with foods, medications, or other physician- prescribed therapies?
5b. Do you often suffer from signs and symptoms of low blood sugar (hypoglycemia) following exercise and/or during activities of daily living? Signs of hypoglycemia may include shakiness, nervousness, unusual irritability, abnormal sweating, dizziness or light-headedness, mental confusion, di ffi culty speaking, weakness, or sleepiness.
5c. Do you have any signs or symptoms of diabetes complications such as heart or vascular disease and/or complications affecting your eyes, kidneys, OR the sensation in your toes and feet?
5d. Do you have other metabolic conditions (such as current pregnancy-related diabetes, chronic kidney disease, or liver problems)?
5e. Are you planning to engage in what for you is unusually high (or vigorous) intensity exercise in the near future?
6. Do you have any Mental Health Problems or Learning Difficulties? This includes Alzheimer’s, Dementia, Depression, Anxiety Disorder, Eating Disorder, Psychotic Disorder, Intellectual Disability, Down Syndrome
6a. Do you have difficulty controlling your condition with medications or other physician-prescribed therapies? (Answer NO if you are not currently taking medications or other treatments)
6b. Do you have Down Syndrome AND back problems affecting nerves or muscles?
7. Do you have a Respiratory Disease? This includes Chronic Obstructive Pulmonary Disease, Asthma, Pulmonary High Blood Pressure
7a. Do you have difficulty controlling your condition with medications or other physician-prescribed therapies? (Answer NO if you are not currently taking medications or other treatments)
7b. Has your doctor ever said your blood oxygen level is low at rest or during exercise and/or that you require supplemental oxygen therapy?
7c. If asthmatic, do you currently have symptoms of chest tightness, wheezing, laboured breathing, consistent cough (more than 2 days/week), or have you used your rescue medication more than twice in the last week?
7d. Has your doctor ever said you have high blood pressure in the blood vessels of your lungs?
8. Do you have a Spinal Cord Injury? This includes Tetraplegia and Paraplegia.
8a. Do you have difficulty controlling your condition with medications or other physician-prescribed therapies? (Answer NO if you are not currently taking medications or other treatments)
8b. Do you commonly exhibit low resting blood pressure signi fi cant enough to cause dizziness, light-headedness, and/or fainting?
8c. Has your physician indicated that you exhibit sudden bouts of high blood pressure (known as Autonomic Dysreflexia)?
9. Have you had a Stroke? This includes Transient Ischemic Attack (TIA) or Cerebrovascular Event
9a. Do you have difficulty controlling your condition with medications or other physician-prescribed therapies? (Answer NO if you are not currently taking medications or other treatments)
9b. Do you have any impairment in walking or mobility?
9c. Have you experienced a stroke or impairment in nerves or muscles in the past 6 months?
10. Do you have any other medical condition not listed above or do you have two or more medical conditions?
10a. Have you experienced a blackout, fainted, or lost consciousness as a result of a head injury within the last 12 months OR have you had a diagnosed concussion within the last 12 months?
10b. Do you have a medical condition that is not listed (such as epilepsy, neurological conditions, kidney problems)?
10c. Do you currently live with two or more medical conditions?

Participant Declaration

All persons who have completed the PAR-Q+ please read and sign the declaration below. If you are less than the legal age required for consent or require the assent of a care provider, your parent, guardian or care provider must also sign this form. I, the undersigned, have read, understood to my full satisfaction and completed this questionnaire. I acknowledge that this physical activity clearance is valid for a maximum of 12 months from the date it is completed and becomes invalid if my condition changes. I also acknowledge that a Trustee (such as my employer, community/fitness centre, health care provider, or other designate) may retain a copy of this form for their records. In these instances, the Trustee will be required to adhere to local, national, and international guidelines regarding the storage of personal health information ensuring that the Trustee maintains the privacy of the information and does not misuse or wrongfully disclose such information.

Participant Name

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contact us

The Club of Riverdale

2600 Netherland Ave
Riverdale, NY 10463

(718) 796-9099

info@tcr-nyc.com

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