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Click ‘Get Form’ to open the hsq form in the editor.
Begin by selecting your Work Capacity Test (WCT) level: Arduous, Moderate, or Light. Mark your choice clearly.
Proceed to answer each health-related question by checking 'Yes' or 'No'. Ensure you read each question carefully, as these are crucial for assessing your fitness for the WCT.
If you answer 'Yes' to any question, be prepared to provide a physician's determination regarding your ability to participate in the WCT.
Complete the signature section at the bottom of the form, including your printed name, date, unit, city, and state.
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HEALTH SCREENING QUESTIONNAIRE (HSQ) Assess your health needs by marking all true statements. The purpose is to identify individuals who may be at risk in taking the Work Capacity Test (WCT) and recommend an exercise program and/or medical examination prior to taking the WCT.
What is a hsq?
HEALTH SCREENING QUESTIONNAIRE (HSQ) WCT Level Arduous Moderate Light Assess your health needs by marking all true statements.
What is the purpose of a health screening questionnaire?
The purpose of the survey is to provide health professionals with a comprehensive understanding of an individuals current health condition, which can help in providing appropriate recommendations for their well-being.
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