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The document is a Pre-Exercise Screening Form designed to collect personal and medical information from individuals before they begin an exercise program. It includes sections for personal details, medical history, current health status, exercise experience, fitness goals, and preferences for training frequency and schedule.

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Click ‘Get Form’ to open the pre-exercise screening form in our editor.
Begin by entering your personal information, including your name, age, date of birth, address, sex, height, and weight. This foundational data is crucial for assessing your fitness needs.
Next, indicate your contact numbers for home, work, and mobile. This ensures that trainers can reach you easily.
Proceed to the medical history section. Carefully check 'Yes' or 'No' for each condition listed. If you answer 'Yes' to any question, provide additional details as requested.
Fill out the lifestyle questions regarding smoking habits and any medications you are currently taking. This information helps tailor your exercise program.
In the fitness experience section, rate your physical activity level at work and list any previous training experiences. This will guide trainers in creating a suitable plan for you.
Finally, outline your short and long-term health goals and preferred training schedule. This helps align your fitness journey with realistic expectations.

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Versions	Form popularity	Fillable & printable
2019	4.9 Satisfied (39 Votes)
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2014	4 Satisfied (38 Votes)
2008	4.6 Satisfied (65 Votes)

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What does a pre-exercise evaluation include?

MEDICAL HISTORY: The essential components history include a thorough review for acute and chronic medical and orthopedic conditions, sports participation history, use of any medication and supplements, allergies and a menstrual history for female athletes.

What is included in an exercise evaluation guide?

Exercise Evaluation Guides (EEGs) provide a consistent tool to guide exercise observation and data collection. Aligned to exercise objectives and core capabilities, EEGs list capability targets and critical tasks. EEGs accomplish several goals: Streamline data collection.

What is typically included in fitness evaluations?

A fitness assessment is roughly a 3060-minute consultation with a health and fitness professional where you are tested on the 5 components of fitness: body composition, muscular strength, muscular endurance, flexibility, and cardiovascular endurance.

What are some of the key elements of pre-exercise screening?

The compulsory part of the pre-exercise screening consists of general questions to determine if a person has any major or uncontrolled cardiovascular, metabolic and respiratory diseases, signs and symptoms of disease, or other medical issues that represent a substantial risk when beginning or upgrading their physical

What is the pre exercise evaluation?

PRE EXERCISE EVALUATION Pre exercise screening is used to identify people who may have medical conditions which put them at higher risk during physical exercises or activities. Pre exercise evaluation serves as a bridge between risk stratification, the fitness and clinical exercise testing concept.

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What is a pre-exercise screening questionnaire?

Pre-exercise screening is used to identify people who may have medical conditions that put them at a higher risk of an adverse event during physical activity/exercise. Its a filter or safety net to help determine if the potential benefits of exercise outweigh the risks for an individual.

What information is contained in an exercise evaluation?

The evaluation plan includes: Exercise-specific information: The scenario or a summary of the scenario, the functional groups for the exercise, and the exercise schedule of events (including the evaluation schedule).

What questions are asked in pre-screening exercises?

Have you ever had Asthma, Diabetes, Epilepsy, Hernia, Dizziness, Gout, Circulation problems, Arthritis or an Ulcer? Have you ever had a Heart Condition, Stroke, Palpitations, Murmers or pains in the chest? Have either of your parents or brother/sister had any heart problems prior to the age of 60?

Pre exercise screening form template 2025

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What does a pre-exercise evaluation include?

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