A PAR-Q form that fits on a phone

Updated 2026-10-30

Nobody enjoys a health form at the front desk with a queue behind them. I would rather send the PAR-Q ahead of the first class. The member answers at home, and you read the yes answers before they train.

Before the member arrives

Send the link with the welcome message, ahead of a first class or a trainer session. Tell people why: a short readiness check keeps training safe. Decide who reads the answers, such as the front desk or the head trainer.

While the form is open

The member gives a name and a birth date, then answers a set of yes or no questions. They cover the heart, chest pain, dizziness, bones and joints, medicines and any other reason to wait. A box invites details for any yes. A final box says they answered honestly and will report changes.

A member's AI would ask "Do you feel pain in your chest when you are active?" Then "Do you have a bone or joint problem?" Then "Does a doctor prescribe medicine for your blood pressure?" It reads back every answer and sends only after a yes. See agent-fillable forms.

After it arrives

Sort for yes answers. Talk to those members before their first session. Check your local privacy rules before collecting health data. This is a form, not medical advice, and it cannot clear anyone to train.

Pair it with a personal training intake and a workout log. More in forms for gyms. The waiver acknowledgement covers consent.

Questions

What do I do when someone answers yes?

Sort the CSV for yes answers and read yes_details. Many gyms then ask the member to check with a doctor first. The form does not decide anything on its own.

Is this a waiver?

No. A PAR-Q is a readiness questionnaire, not a release of liability. For a waiver, see the waiver acknowledgement template, and have a professional check any legal wording.

Can a member answer through their AI?

Yes. The AI reads each question to the member, shows all answers, and submits only after a yes. In a plain chat it gives a block the member can paste and send.

Try the form

Live demo ยท nothing is saved

Are you ready to be more active?

Answer each question honestly. A yes does not mean you cannot train. It means we may ask you to check with your doctor first.

Has a doctor ever said you have a heart condition and should only do activity a doctor recommends? (required)
Do you feel pain in your chest when you do physical activity? (required)
In the past month, have you had chest pain when you were not being active? (required)
Do you lose your balance because of dizziness, or have you ever lost consciousness? (required)
Do you have a bone or joint problem that could get worse with more activity? (required)
Does a doctor currently prescribe medicine for your blood pressure or a heart condition? (required)
Do you know of any other reason you should not do physical activity? (required)
I have checked with my doctor and I can be active
I answered honestly and I will tell staff if my health changes (required)
Use this templateAll templates

Or paste the JSON

Give this to your AI. It needs the AI Form API MCP server or an API key. It makes the form and sends you the link.

text
Create this form with the AI Form API create_form tool (or POST https://aiformapi.com/v1/forms with my API key). Then reply with the public_url.

{
  "title": "Are you ready to be more active?",
  "description": "Answer each question honestly. A yes does not mean you cannot train. It means we may ask you to check with your doctor first.",
  "fields": [
    {
      "id": "participant_name",
      "label": "Your full name",
      "type": "short_text",
      "required": true,
      "max_length": 150
    },
    {
      "id": "participant_birth_date",
      "label": "Date of birth",
      "type": "date",
      "required": true
    },
    {
      "id": "doctor_limited_activity",
      "label": "Has a doctor ever said you have a heart condition and should only do activity a doctor recommends?",
      "type": "single_choice",
      "required": true,
      "options": [
        "Yes",
        "No"
      ]
    },
    {
      "id": "chest_pain_active",
      "label": "Do you feel pain in your chest when you do physical activity?",
      "type": "single_choice",
      "required": true,
      "options": [
        "Yes",
        "No"
      ]
    },
    {
      "id": "chest_pain_resting",
      "label": "In the past month, have you had chest pain when you were not being active?",
      "type": "single_choice",
      "required": true,
      "options": [
        "Yes",
        "No"
      ]
    },
    {
      "id": "dizzy_or_fainted",
      "label": "Do you lose your balance because of dizziness, or have you ever lost consciousness?",
      "type": "single_choice",
      "required": true,
      "options": [
        "Yes",
        "No"
      ]
    },
    {
      "id": "bone_or_joint",
      "label": "Do you have a bone or joint problem that could get worse with more activity?",
      "type": "single_choice",
      "required": true,
      "options": [
        "Yes",
        "No"
      ]
    },
    {
      "id": "heart_pressure_medicine",
      "label": "Does a doctor currently prescribe medicine for your blood pressure or a heart condition?",
      "type": "single_choice",
      "required": true,
      "options": [
        "Yes",
        "No"
      ]
    },
    {
      "id": "other_reason_to_wait",
      "label": "Do you know of any other reason you should not do physical activity?",
      "type": "single_choice",
      "required": true,
      "options": [
        "Yes",
        "No"
      ]
    },
    {
      "id": "yes_details",
      "label": "If you answered yes to anything, tell us a little more",
      "type": "long_text",
      "max_length": 1500
    },
    {
      "id": "checked_with_doctor",
      "label": "I have checked with my doctor and I can be active",
      "type": "checkbox"
    },
    {
      "id": "honest_answers_ack",
      "label": "I answered honestly and I will tell staff if my health changes",
      "type": "checkbox",
      "required": true
    }
  ]
}

Or call the API

bash
curl -X POST https://aiformapi.com/v1/forms \
  -H "Authorization: Bearer $AIFORMAPI_KEY" \
  -H "Content-Type: application/json" \
  -d '{"title":"Are you ready to be more active?","description":"Answer each question honestly. A yes does not mean you cannot train. It means we may ask you to check with your doctor first.","fields":[{"id":"participant_name","label":"Your full name","type":"short_text","required":true,"max_length":150},{"id":"participant_birth_date","label":"Date of birth","type":"date","required":true},{"id":"doctor_limited_activity","label":"Has a doctor ever said you have a heart condition and should only do activity a doctor recommends?","type":"single_choice","required":true,"options":["Yes","No"]},{"id":"chest_pain_active","label":"Do you feel pain in your chest when you do physical activity?","type":"single_choice","required":true,"options":["Yes","No"]},{"id":"chest_pain_resting","label":"In the past month, have you had chest pain when you were not being active?","type":"single_choice","required":true,"options":["Yes","No"]},{"id":"dizzy_or_fainted","label":"Do you lose your balance because of dizziness, or have you ever lost consciousness?","type":"single_choice","required":true,"options":["Yes","No"]},{"id":"bone_or_joint","label":"Do you have a bone or joint problem that could get worse with more activity?","type":"single_choice","required":true,"options":["Yes","No"]},{"id":"heart_pressure_medicine","label":"Does a doctor currently prescribe medicine for your blood pressure or a heart condition?","type":"single_choice","required":true,"options":["Yes","No"]},{"id":"other_reason_to_wait","label":"Do you know of any other reason you should not do physical activity?","type":"single_choice","required":true,"options":["Yes","No"]},{"id":"yes_details","label":"If you answered yes to anything, tell us a little more","type":"long_text","max_length":1500},{"id":"checked_with_doctor","label":"I have checked with my doctor and I can be active","type":"checkbox"},{"id":"honest_answers_ack","label":"I answered honestly and I will tell staff if my health changes","type":"checkbox","required":true}]}'

JSON definition

json
{
  "title": "Are you ready to be more active?",
  "description": "Answer each question honestly. A yes does not mean you cannot train. It means we may ask you to check with your doctor first.",
  "fields": [
    {
      "id": "participant_name",
      "label": "Your full name",
      "type": "short_text",
      "required": true,
      "max_length": 150
    },
    {
      "id": "participant_birth_date",
      "label": "Date of birth",
      "type": "date",
      "required": true
    },
    {
      "id": "doctor_limited_activity",
      "label": "Has a doctor ever said you have a heart condition and should only do activity a doctor recommends?",
      "type": "single_choice",
      "required": true,
      "options": [
        "Yes",
        "No"
      ]
    },
    {
      "id": "chest_pain_active",
      "label": "Do you feel pain in your chest when you do physical activity?",
      "type": "single_choice",
      "required": true,
      "options": [
        "Yes",
        "No"
      ]
    },
    {
      "id": "chest_pain_resting",
      "label": "In the past month, have you had chest pain when you were not being active?",
      "type": "single_choice",
      "required": true,
      "options": [
        "Yes",
        "No"
      ]
    },
    {
      "id": "dizzy_or_fainted",
      "label": "Do you lose your balance because of dizziness, or have you ever lost consciousness?",
      "type": "single_choice",
      "required": true,
      "options": [
        "Yes",
        "No"
      ]
    },
    {
      "id": "bone_or_joint",
      "label": "Do you have a bone or joint problem that could get worse with more activity?",
      "type": "single_choice",
      "required": true,
      "options": [
        "Yes",
        "No"
      ]
    },
    {
      "id": "heart_pressure_medicine",
      "label": "Does a doctor currently prescribe medicine for your blood pressure or a heart condition?",
      "type": "single_choice",
      "required": true,
      "options": [
        "Yes",
        "No"
      ]
    },
    {
      "id": "other_reason_to_wait",
      "label": "Do you know of any other reason you should not do physical activity?",
      "type": "single_choice",
      "required": true,
      "options": [
        "Yes",
        "No"
      ]
    },
    {
      "id": "yes_details",
      "label": "If you answered yes to anything, tell us a little more",
      "type": "long_text",
      "max_length": 1500
    },
    {
      "id": "checked_with_doctor",
      "label": "I have checked with my doctor and I can be active",
      "type": "checkbox"
    },
    {
      "id": "honest_answers_ack",
      "label": "I answered honestly and I will tell staff if my health changes",
      "type": "checkbox",
      "required": true
    }
  ]
}