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Illinois Department of Public Health ILLINOIS ADOPTION REGISTRY MEDICAL QUESTIONNAIRE If answering yes to any item, specify item number (for example, A2, B4, etc.) and indicate self or family member.

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How to fill out the If Answering Yes To Any Item online

This guide provides clear and detailed instructions on how to accurately complete the Illinois Adoption Registry medical questionnaire, specifically the section for answering 'yes' to any items listed. Whether you are filling it out for yourself or a family member, this guide ensures you have the necessary information to proceed with confidence.

Follow the steps to successfully fill out the form online.

  1. Click ‘Get Form’ button to download the medical questionnaire so you can begin filling it out in a suitable format.
  2. Begin by reviewing each section carefully. Identify each area where you or a family member may have medical conditions or health concerns as listed within the form.
  3. For each item you answer 'yes,' specify the item number (for instance, A2, B4, etc.). Indicate whether it pertains to yourself or a family member by writing 'self' or 'family member' next to the item.
  4. In the provided fields, enter all known information related to the medical condition. Use the additional explanation/comments section as necessary to provide further detail or context.
  5. After completing all relevant sections, review your responses for accuracy and completeness to ensure all potential health concerns are documented.
  6. Finally, save your changes, download your completed document, or print it directly depending on your needs. You may also share it as required.

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A PAR-Q will typically include questions such as: – Do you have chest pain when performing physical activity? – Are you pregnant or have you given birth in the last 6 months? – Do you have a bone or joint problem that causes you pain when exercising?

The Physical Activity Readiness Questionnaire is a series of questions of 7 and is recommended before you begin an exercise program. You can assess this by the Physical Activity Readiness Questionnaire.

1) Has your doctor ever said that you have a heart condition OR high blood pressure? 2) Do you feel pain in your chest at rest, during your daily activities of living, OR when you do physical activity? 3) Do you lose balance because of dizziness OR have you lost consciousness in the last 12 months?

The PAR-Q+ is a 7-step questionnaire for use with persons of all ages. It screens for evidence of risk factors during moderate physical activity and reviews family history and disease severity.

If you answer “yes” to any of the questions on the first page of the PAR-Q+, you must complete the second and third page. If you answer “no” to all of those follow-up questions, you are ready to be physically active.

The purpose of the PAR-Q, therefore, is to determine whether a client should have a complete medical evaluation before participating in vigorous or strenuous exercise. The PAR-Q is entirely subjective and based only on the information a client provides as opposed to objective measurements like height, weight, or age.

A PAR-Q will typically include questions such as: – Do you have chest pain when performing physical activity? – Are you pregnant or have you given birth in the last 6 months? – Do you have a bone or joint problem that causes you pain when exercising?

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.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232