Physical Activity Risk Factor Questionnaire for Navy Members
The Physical Activity Risk Factor Questionnaire (PARFQ), NAVPERS 6110/3 (07-2011), is a mandatory self-screening tool for Navy members before participating in the semi-annual Physical Fitness Assessment (PFA). This form helps identify risk factors or health status changes since the annual Physical Health Assessment (PHA). Failure to fully disclose the requested information may subject individuals to administrative actions.
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How do I fill this out?
To fill out this form, ensure that you have your personal and health information readily available. Answer each question honestly and completely. After filling out all fields, provide your signature and submit the form as required.
How to fill out the Physical Activity Risk Factor Questionnaire for Navy Members?
1
Start with your personal information like name and date of birth.
2
Answer the health-related questions based on your current status.
3
Provide the date of your last Physical Health Assessment (PHA).
4
If applicable, attach a copy of your medical waiver.
5
Complete the form by signing and dating it.
Who needs the Physical Activity Risk Factor Questionnaire for Navy Members?
1
Navy members who are about to participate in the semi-annual Physical Fitness Assessment (PFA).
2
Medical personnel who need to verify the health status of Navy members.
3
Commanding officers who require verification of their personnel's health fitness.
4
Navy members who have experienced a change in health status since their last Physical Health Assessment (PHA).
5
Navy members who need to disclose recent medical conditions or concerns.
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What are the instructions for submitting this form?
Submit the completed PARFQ form to your commanding officer or designated medical personnel. You may be required to submit the form electronically via email or through an online submission portal, if available. Ensure that all required fields are filled out accurately and that any necessary attachments, such as medical waivers, are included. It is advisable to confirm the submission process with your commanding officer to ensure proper and timely submission.
What are the important dates for this form in 2024 and 2025?
Important dates for the PARFQ form in 2024 and 2025 include the semi-annual Physical Fitness Assessment (PFA) periods. Ensure to submit the form prior to the assessment dates.
What is the purpose of this form?
The primary purpose of the Physical Activity Risk Factor Questionnaire (PARFQ) is to identify any potential risk factors or changes in the health status of Navy members before they participate in the semi-annual Physical Fitness Assessment (PFA). This self-screening tool is essential for ensuring the safety and readiness of personnel by allowing commands and medical personnel to address any health concerns that may arise. By completing the PARFQ form, Navy members provide important information that supports proactive healthcare and proper assessment of their physical capabilities. This process not only helps in identifying individual health needs but also contributes to the overall operational readiness of the Navy. Ensuring that each member is fit for duty and aware of their health status is critical for maintaining a strong and effective military force.
Tell me about this form and its components and fields line-by-line.
- 1. NAME: This field requires the full name of the Navy member filling out the form.
- 2. DATE OF BIRTH: This field requires the date of birth of the Navy member.
- 3. DATE OF YOUR LAST PHA: This field requires the date of the Navy member's last Physical Health Assessment (PHA).
- 4. Health Questions: A series of questions related to the member's health and medical history, which must be answered truthfully.
- 5. MEDICAL WAIVER: If applicable, a section to attach a copy of any medical waivers.
- 6. MEMBER'S SIGNATURE: The Navy member must sign and date the form to validate the information provided.
What happens if I fail to submit this form?
Failure to submit the PARFQ form may result in administrative actions and impact your eligibility for the Physical Fitness Assessment (PFA). It is crucial to complete and submit the form on time.
- Administrative Actions: Not submitting the form may lead to administrative consequences within the Navy.
- PFA Eligibility: Failure to submit the form could affect your ability to participate in the Physical Fitness Assessment.
How do I know when to use this form?
- 1. Before PFA: Mandatory for all Navy members prior to their semi-annual Physical Fitness Assessment.
- 2. Health Changes: To document any changes in health status since the last Physical Health Assessment (PHA).
Frequently Asked Question
What is the purpose of the PARFQ form?
The PARFQ form is used to identify risk factors or health status changes in Navy members before participating in the semi-annual Physical Fitness Assessment (PFA).
How do I fill out the PARFQ form?
You need to provide your personal information, answer health questions honestly, and submit the form with your signature.
Can I edit the PARFQ form on PrintFriendly?
Yes, you can easily edit the PARFQ form using PrintFriendly's built-in PDF editor.
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Use the signature tool on PrintFriendly to add your signature to the form and save the document.
Can I share the completed PARFQ form from PrintFriendly?
Yes, you can share the completed form via email or by generating a shareable link directly from PrintFriendly.
Who needs to fill out the PARFQ form?
All Navy members preparing for the semi-annual Physical Fitness Assessment (PFA) need to fill out the PARFQ form.
What happens if I don't submit the PARFQ form?
Failure to submit the PARFQ form may result in administrative actions and impact your participation in the PFA.
Is the disclosure of information on the PARFQ form mandatory?
Yes, it is mandatory to fully disclose the requested information on the PARFQ form.
Can I save the edited PARFQ form on PrintFriendly?
Yes, you can save the edited PARFQ form on PrintFriendly after making changes.
What should I do if I have a medical waiver?
If you have a medical waiver, attach a copy of the waiver to the PARFQ form.
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