Loading
Form preview picture

Get Pre Exercise Questionnaire Template

Pre Exercise Screening Questionnaire This screening tool does not provide advice on a particular matter nor does it substitute for advice from an appropriately qualified medical professional. No warranty of safety should result from its use. The screening system in no way guarantees against injury or death. No responsibility or liability whatsoever can be accepted by Fitness First Exercise and Sports Science Australia Fitness Australia or Sports Medicine Australia for any loss damage illness injury or death that may arise from any person acting on any statement or information contained in this tool. Name Phone No M F DOB Emergency Contact Phone AIM to identify those individuals with a known disease or signs or symptoms of disease who may be at a higher risk of an adverse event during physical activity/exercise. Pre Exercise Screening Questionnaire This screening tool does not provide advice on a particular matter nor does it substitute for advice from an appropriately qualified medical professional* No warranty of safety should result from its use. The screening system in no way guarantees against injury or death. No responsibility or liability whatsoever can be accepted by Fitness First Exercise and Sports Science Australia Fitness Australia or Sports Medicine Australia for any loss damage illness injury or death that may arise from any person acting on any statement or information contained in this tool* Name Phone No M F DOB Emergency Contact Phone AIM to identify those individuals with a known disease or signs or symptoms of disease who may be at a higher risk of an adverse event during physical activity/exercise. This checklist is self administered and self evaluated* Please circle response 1. Have you ever suffered or been told by a doctor that you have suffered a stroke Yes No 2. Has your doctor ever told you that you have a heart condition Do you ever experience unexplained pains in your chest at rest or during physical activity/exercise Do you ever feel faint or have spells of dizziness during physical activity/exercise that causes you to lose balance Have you had an asthma attack requiring medical attention at any time over the last 12 months If you have diabetes type I or type II have you had trouble controlling your blood glucose in Do you have any other medical condition s that may make it dangerous for you to participate in physical activity/exercise Do you have any diagnosed muscle bone or joint problems that you have been told could be made worse by participating in physical activity/exercise IF YOU ANSWERED YES to questions 1 - 6 we recommend you obtain written medical clearance/approval from a GP or appropriate allied health professional stating your are able to safely undertaking physical activity/exercise in our clubs. I believe that to the best of my knowledge all of the information I have supplied within this tool is correct. Member/Visitor Signature Employee Signature Doc No SafetyFirst- 05. 02 Version No 1. 1 Issue Date 09/14 Next Review 09/15 Owner National WHS Manager V1 2011 Approved By National Human Resources Director Page 1..

How It Works

evaluated rating
4.8Satisfied
38 votes

How to fill out and sign ADVERSE online?

Get your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below:

Business, legal, tax and other electronic documents need a high level of protection and compliance with the law. Our documents are regularly updated according to the latest legislative changes. Plus, with us, all the info you include in the Pre Exercise Questionnaire Template is protected against loss or damage via industry-leading file encryption.

The following tips can help you fill out Pre Exercise Questionnaire Template quickly and easily:

  1. Open the form in the feature-rich online editing tool by clicking Get form.
  2. Complete the requested boxes which are yellow-colored.
  3. Hit the green arrow with the inscription Next to move on from box to box.
  4. Go to the e-autograph tool to add an electronic signature to the template.
  5. Put the date.
  6. Double-check the entire document to be sure that you have not skipped anything.
  7. Press Done and save your new document.

Our service allows you to take the whole process of submitting legal documents online. As a result, you save hours (if not days or weeks) and get rid of additional payments. From now on, fill in Pre Exercise Questionnaire Template from the comfort of your home, business office, and even while on the go.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

If you believe that this page should be taken down, please follow our DMCA take down processhere.
Ensure the security of your data and transactions

USLegal fulfills industry-leading security and compliance standards.

  • VeriSign logo picture

    VeriSign secured

    #1 Internet-trusted security seal. Ensures that a website is free of malware attacks.

  • Norton logo picture

    Norton Secured

    The highest level of recognition among eCommerce customers.

  • Accredited Business

    Guarantees that a business meets BBB accreditation standards in the US and Canada.

  • TopTenReviews logo picture

    TopTen Reviews

    Highest customer reviews on one of the most highly-trusted product review platforms.