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PREEXERCISE SCREENING FORM. Name Age D.O.B / /19 Address Sex Height Weight Tel Home Tel Work Tel Mobile Have you ever suffered from any of the following medical conditions ? 1. 2. 3. 4. 5. 6.

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How to fill out the Pre Exercise Screening Forms online

Filling out the Pre Exercise Screening Forms online is an essential step in preparing for physical activity. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently, ensuring a safe and tailored exercise experience.

Follow the steps to complete your Pre Exercise Screening Forms online:

  1. Press the ‘Get Form’ button to access the document and open it for editing.
  2. Begin by entering your personal information in the designated fields, including your name, age, date of birth, address, and contact numbers.
  3. Indicate your sex, height, and weight in the appropriate sections.
  4. Answer the medical history questions by checking 'Yes' or 'No' for each condition listed. If you select 'Yes' for any condition, provide additional details where prompted.
  5. Address the pregnancy and smoking questions, indicating if applicable and providing details if you smoke.
  6. If you have received medical advice against exercise, select 'Yes' and elaborate on the advice in the space provided.
  7. List any medications you currently take regularly, if applicable, or indicate if you do not take any medication.
  8. State if you are following a specific diet and provide relevant details if you answer 'Yes'.
  9. Acknowledge any known injuries you may have that might affect exercise, and explain further if necessary.
  10. Indicate your experience with personal training and rate your physical activity at work.
  11. List your prior types of training experience, marking them as applicable.
  12. Specify if you have played any sports and provide the name if you choose 'Yes'.
  13. Rate your current level of fitness using the available options.
  14. Articulate your short and long-term health and fitness goals clearly.
  15. Indicate how many times per week you plan to train and specify your preferred training days and times.
  16. Finally, state how you heard about 'In Fitness & In Health.'
  17. Review the form for accuracy, then save your changes, and choose to download, print, or share the completed form.

Take the first step towards your fitness journey by completing the Pre Exercise Screening Forms online today!

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Stage 1 of APSS is compulsory and aims to identify those at high-risk of cardiovascular, metabolic or respiratory diseases and refer to medical/allied health professionals for clearance. Stage 2 and 3 are optional and screen for moderate or low risk individuals.

Have you ever had any injury, illness, back or joint condition that you may feel could be aggravated by exercise? 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?

Stage 1 of APSS is compulsory and aims to identify those at high-risk of cardiovascular, metabolic or respiratory diseases and refer to medical/allied health professionals for clearance. Stage 2 and 3 are optional and screen for moderate or low risk individuals.

To identify individuals with known disease, and/or signs or symptoms of disease, who may be at a higher risk of an adverse event due to exercise. An adverse event refers to an unexpected event that occurs as a consequence of an exercise session, resulting in ill health, physical harm or death to an individual.

Adult Pre-Exercise Screening System (APSS)

The information obtained through Stage 2 will identify individuals with risk factors or other conditions. This will assist with appropriate exercise prescription.

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. It's a filter or 'safety net' to help determine if the potential benefits of exercise outweigh the risks for an individual.

The APSS divides assessment into three stages, which makes the decision to refer or not much more straightforward. It is the fitness trainer's responsibility and industry best practice to conduct a valid and comprehensive screening and risk stratification process.

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