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HEALTH SCREENING QUESTIONNAIRE & INFORMED CONSENT Name___Class day & time___Town of Residence___Contact no: Mobile/home___ Email address___Occupation (to deduce muscle activity) ___ If retired what
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How to fill out exercise pre-participation health screening

How to fill out exercise pre-participation health screening
01
Obtain the exercise pre-participation health screening form from your healthcare provider or fitness facility.
02
Fill out the form accurately and completely, providing information about your medical history, current health status, and any medications you are taking.
03
Be honest and thorough when answering all questions on the form, as this information will help determine if you are healthy enough to participate in exercise.
04
If you have any questions or concerns about the form, don't hesitate to ask your healthcare provider or fitness professional for assistance.
05
Once you have completed the form, return it to the appropriate person or department at your healthcare provider or fitness facility for review.
Who needs exercise pre-participation health screening?
01
Individuals who are new to exercise or planning to start a new and intense exercise program.
02
Those with a history of medical conditions such as heart disease, diabetes, or high blood pressure.
03
People over the age of 40 who have not been physically active or those with a family history of heart disease.
04
Anyone experiencing symptoms such as chest pain, dizziness, or shortness of breath during physical activity.
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What is exercise pre-participation health screening?
Exercise pre-participation health screening is a process to assess an individual's overall health and fitness level before engaging in a physical activity or exercise program.
Who is required to file exercise pre-participation health screening?
Individuals who are planning to participate in a physical activity or exercise program may be required to fill out an exercise pre-participation health screening form.
How to fill out exercise pre-participation health screening?
To fill out an exercise pre-participation health screening form, individuals need to provide information about their medical history, current medications, previous injuries, and any existing health conditions.
What is the purpose of exercise pre-participation health screening?
The purpose of exercise pre-participation health screening is to identify any potential health risks or limitations that may affect an individual's ability to safely participate in a physical activity or exercise program.
What information must be reported on exercise pre-participation health screening?
Information that must be reported on exercise pre-participation health screening may include personal information, medical history, current medications, previous injuries, and any existing health conditions.
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