Assessment 3.2.
Added on 2022-10-17
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1 | Document 355 - Assessment 3.2 - Client Screening &
Assessment v3
Assessment 3.2
Client Screening & Assessment
Assessment 3.2 Instructions and Required Resources
Before you begin CLICK HERE to watch an instructional video on how to successfully complete this
assessment. This video will outline the skills and resources you require to receive an excellent grade.
Prior to completing this assessment, we recommend you watch the following online lecture presentations
relevant to this assessment:
Lecture Presentation 3.1 - The Components of a Health Screening
Lecture Presentation 3.2 - Delivering a First Class Health Screening
Lecture Presentation 3.3 - Health Assessments
Lecture Presentation 3.4 - Physical Fitness Assessments
Lecture Presentation 3.5 - Understanding the Referral Process
Prior to completing this assessment, we recommend you read the following chapter from the Certificate III in
Fitness Course Manual
Chapter 3 - Client Screening & Assessment
Student Name
Assessor Name
Qualification SIS30315 - Certificate III in Fitness
Delivery Method Online Face to Face
Assessment Type Case Study Role Play
Units of Competency
SISFFIT001 Provide health screening and fitness orientation
SISFFIT006 Conduct fitness appraisals
Please complete the following:
Declaration: I have read, understand and agree to the assessment tasks and criteria outlined in this
document and agree to complete this assessment in accordance with Australian Fitness Academy’s
assessment policy. I declare that all evidence submitted for this assessment is the product of my own
work and every attempt has been made to accurately reference all sources to prevent plagiarism.
STUDENT SIGNATURE: Date:
Assessment v3
Assessment 3.2
Client Screening & Assessment
Assessment 3.2 Instructions and Required Resources
Before you begin CLICK HERE to watch an instructional video on how to successfully complete this
assessment. This video will outline the skills and resources you require to receive an excellent grade.
Prior to completing this assessment, we recommend you watch the following online lecture presentations
relevant to this assessment:
Lecture Presentation 3.1 - The Components of a Health Screening
Lecture Presentation 3.2 - Delivering a First Class Health Screening
Lecture Presentation 3.3 - Health Assessments
Lecture Presentation 3.4 - Physical Fitness Assessments
Lecture Presentation 3.5 - Understanding the Referral Process
Prior to completing this assessment, we recommend you read the following chapter from the Certificate III in
Fitness Course Manual
Chapter 3 - Client Screening & Assessment
Student Name
Assessor Name
Qualification SIS30315 - Certificate III in Fitness
Delivery Method Online Face to Face
Assessment Type Case Study Role Play
Units of Competency
SISFFIT001 Provide health screening and fitness orientation
SISFFIT006 Conduct fitness appraisals
Please complete the following:
Declaration: I have read, understand and agree to the assessment tasks and criteria outlined in this
document and agree to complete this assessment in accordance with Australian Fitness Academy’s
assessment policy. I declare that all evidence submitted for this assessment is the product of my own
work and every attempt has been made to accurately reference all sources to prevent plagiarism.
STUDENT SIGNATURE: Date:
AUSTRALIAN FITNESS ACADEMY © | 2
Student Assessment Tasks
This assessment is to be completed after reviewing resources from Topic 3 – Client Screening &
Assessment
Students are required to address ALL questions in this assessment task.
To complete the assessment:
• Download the document ‘Assessment 3.2 – Case Studies - Initial Appraisal’.
• Give the case studies to a friend, family member or classmate and have them select one of the
clients from the case study options.
• Have your friend, family member or classmate play the role of the chosen client and conduct a
60-minute health screening and fitness assessment for them.
• Your friend, family member or classmate will be required to respond to your questions using the
information provided in the chosen case study.
Task A:
When conducting the health and fitness consultation for your client:
1. Using the editable Fitness Australia Pre-exercise Screening tool on the next page, conduct a
pre-exercise health screening for your client (based on the case study provided):
When completing the pre-exercise screening be sure to:
a. Explain the purpose of pre-exercise health screening questionnaire to the client
b. Discuss the outcomes of the pre-exercise screening questionnaire with the client
c. Complete Stages 1 and 2 of the form
Assessor Use Only
Satisfactory Resubmit
ASSESSMENT TIP
Before you complete the Fitness Australia Pre-exercise Screening Tool click on
each of the following resources which will assist you in completing the health
screening document:
• Adult Pre-Exercise Screening Tool - User Guide
• Instructional Video - How to complete the Fitness Australia Pre-Exercise
Screening Tool
Student Assessment Tasks
This assessment is to be completed after reviewing resources from Topic 3 – Client Screening &
Assessment
Students are required to address ALL questions in this assessment task.
To complete the assessment:
• Download the document ‘Assessment 3.2 – Case Studies - Initial Appraisal’.
• Give the case studies to a friend, family member or classmate and have them select one of the
clients from the case study options.
• Have your friend, family member or classmate play the role of the chosen client and conduct a
60-minute health screening and fitness assessment for them.
• Your friend, family member or classmate will be required to respond to your questions using the
information provided in the chosen case study.
Task A:
When conducting the health and fitness consultation for your client:
1. Using the editable Fitness Australia Pre-exercise Screening tool on the next page, conduct a
pre-exercise health screening for your client (based on the case study provided):
When completing the pre-exercise screening be sure to:
a. Explain the purpose of pre-exercise health screening questionnaire to the client
b. Discuss the outcomes of the pre-exercise screening questionnaire with the client
c. Complete Stages 1 and 2 of the form
Assessor Use Only
Satisfactory Resubmit
ASSESSMENT TIP
Before you complete the Fitness Australia Pre-exercise Screening Tool click on
each of the following resources which will assist you in completing the health
screening document:
• Adult Pre-Exercise Screening Tool - User Guide
• Instructional Video - How to complete the Fitness Australia Pre-Exercise
Screening Tool
Page 3
ADULT PRE-EXERCISE SCREENING TOOL
STAGE 1 (COMPULSORY)
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 stage is self administered and self evaluated.
1. Has your doctor ever told you that you have a heart condition or have
you ever suffered a stroke?
Yes No
2. Do you ever experience unexplained pains in your chest at rest or
during physical activity/exercise?
Yes No
3. Do you ever feel faint or have spells of dizziness during physical
activity/exercise that causes you to lose balance?
Yes No
4. Have you had an asthma attack requiring immediate medical
attention at any time over the last 12 months?
Yes No
5. If you have diabetes (type I or type II) have you had trouble
controlling your blood glucose in the last 3 months?
Yes No
6. 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?
Yes No
7. Do you have any other medical condition(s) that may make it
dangerous for you to participate in physical activity/exercise?
Yes No
IF YOU ANSWERED ‘YES’ to any of the 7 questions, please seek
guidance from your GP or appropriate allied health professional prior to
undertaking physical activity/exercise
IF YOU ANSWERED ‘NO’ to all of the 7 questions, and you have no other
concerns about your health, you may proceed to undertake light-moderate
intensity physical activity/exercise
Name:
Date of Birth: Male Female Date:
Please circle response
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 Exercise and Sports Science Australia, Fitness Australia or Sports
Medicine Australia for any loss, damage or injury that may arise from any person acting on any statement or information contained in
this tool.
I believe that to the best of my knowledge, all of the information I have supplied within this tool is correct.
Signature Date
ADULT PRE-EXERCISE SCREENING TOOL
STAGE 1 (COMPULSORY)
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 stage is self administered and self evaluated.
1. Has your doctor ever told you that you have a heart condition or have
you ever suffered a stroke?
Yes No
2. Do you ever experience unexplained pains in your chest at rest or
during physical activity/exercise?
Yes No
3. Do you ever feel faint or have spells of dizziness during physical
activity/exercise that causes you to lose balance?
Yes No
4. Have you had an asthma attack requiring immediate medical
attention at any time over the last 12 months?
Yes No
5. If you have diabetes (type I or type II) have you had trouble
controlling your blood glucose in the last 3 months?
Yes No
6. 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?
Yes No
7. Do you have any other medical condition(s) that may make it
dangerous for you to participate in physical activity/exercise?
Yes No
IF YOU ANSWERED ‘YES’ to any of the 7 questions, please seek
guidance from your GP or appropriate allied health professional prior to
undertaking physical activity/exercise
IF YOU ANSWERED ‘NO’ to all of the 7 questions, and you have no other
concerns about your health, you may proceed to undertake light-moderate
intensity physical activity/exercise
Name:
Date of Birth: Male Female Date:
Please circle response
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 Exercise and Sports Science Australia, Fitness Australia or Sports
Medicine Australia for any loss, damage or injury that may arise from any person acting on any statement or information contained in
this tool.
I believe that to the best of my knowledge, all of the information I have supplied within this tool is correct.
Signature Date
EXERCISE INTENSITY GUIDELINES
< 40%
HRmax
≥ 90%
HRmax
Very hard
RPE# ≥ 7
• An intensity that
generally cannot be
sustained for longer
than about
10 minutes
HIGH
70 to <90%
HRmax
Hard
RPE# 5-6
• An aerobic activity in
which a conversation
generally cannot
be maintained
uninterrupted
• An intensity that may
last up to about 30
minutes
VIGOROUS
55 to <70%
HRmax
Moderate to
somewhat hard
RPE# 3-4
• An aerobic activity
that is able to be
conducted whilst
maintaining a
conversation
uninterrupted
• An intensity that may
last between 30 and
60 minutes
MODERATE
40 to <55%
HRmax
Very light to light
RPE# 1-2
• An aerobic activity
that does not cause a
noticeable change in
breathing rate
• An intensity that can
be sustained for at
least 60 minutes
LIGHT
SEDENTARY Very, very light
RPE# < 1
• Activities that usually
involve sitting or
lying and that have
little additional
movement and a low
energy requirement
INTENSITY
CATEGORY
HEART RATE
MEASURES
PERCEIVED EXERTION
MEASURES
DESCRIPTIVE
MEASURES
# = Borg’s Rating of Perceived Exertion (RPE) scale, category scale 0-10
Page 4
< 40%
HRmax
≥ 90%
HRmax
Very hard
RPE# ≥ 7
• An intensity that
generally cannot be
sustained for longer
than about
10 minutes
HIGH
70 to <90%
HRmax
Hard
RPE# 5-6
• An aerobic activity in
which a conversation
generally cannot
be maintained
uninterrupted
• An intensity that may
last up to about 30
minutes
VIGOROUS
55 to <70%
HRmax
Moderate to
somewhat hard
RPE# 3-4
• An aerobic activity
that is able to be
conducted whilst
maintaining a
conversation
uninterrupted
• An intensity that may
last between 30 and
60 minutes
MODERATE
40 to <55%
HRmax
Very light to light
RPE# 1-2
• An aerobic activity
that does not cause a
noticeable change in
breathing rate
• An intensity that can
be sustained for at
least 60 minutes
LIGHT
SEDENTARY Very, very light
RPE# < 1
• Activities that usually
involve sitting or
lying and that have
little additional
movement and a low
energy requirement
INTENSITY
CATEGORY
HEART RATE
MEASURES
PERCEIVED EXERTION
MEASURES
DESCRIPTIVE
MEASURES
# = Borg’s Rating of Perceived Exertion (RPE) scale, category scale 0-10
Page 4
RISK FACTORS
Relative Age Relative Age
Father Mother
Brother Sister
Son Daughter
1. Age
Gender
≥ 45yrs Males or ≥ 55yrs Females
+1 risk factor
2. Family history of heart disease (eg: stroke, heart
attack)
If male < 55yrs = +1 risk factor
If female < 65yrs = +1 risk factor
Maximum of 1 risk factor for this
question
3. Do you smoke cigarettes on a daily or weekly basis or
have you quit smoking in the last 6 months? Yes No
If currently smoking, how many per
day or week?
If yes, (smoke regularly or
given up within the past 6 months)
= +1 risk factor
4. Describe your current physical activity/exercise levels: If physical activity level
< 150 min/ week = +1 risk factor
If physical activity level
≥ 150 min/ week = -1 risk factor
(vigorous physical activity/ exercise
weighted x 2)
5. Please state your height (cm)
weight (kg) BMI = ________________
BMI ≥ 30 kg/m2 = +1 risk factor
6. Have you been told that you have high blood
pressure? Yes No If yes, = +1 risk factor
7. Have you been told that you have high cholesterol?
Yes No If yes, = +1 risk factor
8. Have you been told that you have high blood
sugar? Yes No If yes, = +1 risk factor
STAGE 2 (OPTIONAL)
AIM: To identify those individuals with risk factors or other conditions to assist with appropriate exercise prescription.
This stage is to be administered by a qualified exercise professional.
STAGE 2 Total Risk Factors =
Name:
Date of Birth: Date:
Page 5
Note: Refer over page for risk stratification.
Sedentary Light Moderate Vigorous
Frequency
sessions per week
Duration
minutes per week
ADULT PRE-EXERCISE SCREENING TOOL
Relative Age Relative Age
Father Mother
Brother Sister
Son Daughter
1. Age
Gender
≥ 45yrs Males or ≥ 55yrs Females
+1 risk factor
2. Family history of heart disease (eg: stroke, heart
attack)
If male < 55yrs = +1 risk factor
If female < 65yrs = +1 risk factor
Maximum of 1 risk factor for this
question
3. Do you smoke cigarettes on a daily or weekly basis or
have you quit smoking in the last 6 months? Yes No
If currently smoking, how many per
day or week?
If yes, (smoke regularly or
given up within the past 6 months)
= +1 risk factor
4. Describe your current physical activity/exercise levels: If physical activity level
< 150 min/ week = +1 risk factor
If physical activity level
≥ 150 min/ week = -1 risk factor
(vigorous physical activity/ exercise
weighted x 2)
5. Please state your height (cm)
weight (kg) BMI = ________________
BMI ≥ 30 kg/m2 = +1 risk factor
6. Have you been told that you have high blood
pressure? Yes No If yes, = +1 risk factor
7. Have you been told that you have high cholesterol?
Yes No If yes, = +1 risk factor
8. Have you been told that you have high blood
sugar? Yes No If yes, = +1 risk factor
STAGE 2 (OPTIONAL)
AIM: To identify those individuals with risk factors or other conditions to assist with appropriate exercise prescription.
This stage is to be administered by a qualified exercise professional.
STAGE 2 Total Risk Factors =
Name:
Date of Birth: Date:
Page 5
Note: Refer over page for risk stratification.
Sedentary Light Moderate Vigorous
Frequency
sessions per week
Duration
minutes per week
ADULT PRE-EXERCISE SCREENING TOOL
1. BMI (kg/m2) BMI ≥ 30 kg/m2 = +1 risk factor
2. Waist girth (cm) Waist > 94 cm for men and
> 80 cm for women = +1 risk factor
3. Resting BP (mmHg) SBP ≥140 mmHg or DBP ≥90 mmHg
= +1 risk factor
4. Fasting lipid profile*
Total cholesterol
HDL
Triglycerides
LDL
Total cholesterol ≥ 5.20 mmol/L = +1 risk factor
HDL cholesterol >1.55 mmol/L = -1 risk factor
HDL cholesterol < 1.00 mmol/L = +1 risk factor
Triglycerides ≥ 1.70 mmol/L = +1 risk factor
LDL cholesterol ≥ 3.40 mmol/L = +1 risk factor
5 Fasting blood glucose* Fasting glucose ≥ 5.50 mmol = +1 risk factor
RESULTS
STAGE 3 Total Risk Factors =
RISK STRATIFICATION
STAGE 3 (OPTIONAL)
AIM: To obtain pre-exercise baseline measurements of other recognised cardiovascular and metabolic risk factors. This
stage is to be administered by a qualified exercise professional. (Measures 1, 2 & 3 – minimum qualification, Certificate
III in Fitness; Measures 4 and 5 minimum level, Exercise Physiologist*).
RISK FACTORS
Total stage 2
or
Total stage 3
Plus stage 2 (Q1 - Q4)
Note: If stage 3 is completed, identified risk factors from stage 2 (Q1-4) and stage 3 should be combined to indicate risk. If there are extreme or multiple risk factors, the
exercise professional should use professional judgement to decide whether further medical advice is required.
≥ 2 RISK FACTORS – MODERATE RISK CLIENTS
Individuals at moderate risk may participate in aerobic
physical activity/exercise at a light or moderate intensity
(Refer to the exercise intensity table on page 2)
< 2 RISK FACTORS – LOW RISK CLIENTS
Individuals at low risk may participate in aerobic physical
activity/exercise up to a vigorous or high intensity
(Refer to the exercise intensity table on page 2)
9. Have you spent time in hospital (including day admission) for
any medical condition/illness/injury during the last 12 months?
Yes No
If yes, provide details
10. Are you currently taking a prescribed medication(s)
for any medical conditions(s)? Yes No
If yes, what is the medical condition(s)?
11. Are you pregnant or have you given birth within
the last 12 months? Yes No
If yes, provide details. I am _____________
months pregnant or postnatal (circle).
12. Do you have any muscle, bone or joint pain or soreness that is
made worse by particular types of activity? Yes No
If yes, provide details
Page 6
2. Waist girth (cm) Waist > 94 cm for men and
> 80 cm for women = +1 risk factor
3. Resting BP (mmHg) SBP ≥140 mmHg or DBP ≥90 mmHg
= +1 risk factor
4. Fasting lipid profile*
Total cholesterol
HDL
Triglycerides
LDL
Total cholesterol ≥ 5.20 mmol/L = +1 risk factor
HDL cholesterol >1.55 mmol/L = -1 risk factor
HDL cholesterol < 1.00 mmol/L = +1 risk factor
Triglycerides ≥ 1.70 mmol/L = +1 risk factor
LDL cholesterol ≥ 3.40 mmol/L = +1 risk factor
5 Fasting blood glucose* Fasting glucose ≥ 5.50 mmol = +1 risk factor
RESULTS
STAGE 3 Total Risk Factors =
RISK STRATIFICATION
STAGE 3 (OPTIONAL)
AIM: To obtain pre-exercise baseline measurements of other recognised cardiovascular and metabolic risk factors. This
stage is to be administered by a qualified exercise professional. (Measures 1, 2 & 3 – minimum qualification, Certificate
III in Fitness; Measures 4 and 5 minimum level, Exercise Physiologist*).
RISK FACTORS
Total stage 2
or
Total stage 3
Plus stage 2 (Q1 - Q4)
Note: If stage 3 is completed, identified risk factors from stage 2 (Q1-4) and stage 3 should be combined to indicate risk. If there are extreme or multiple risk factors, the
exercise professional should use professional judgement to decide whether further medical advice is required.
≥ 2 RISK FACTORS – MODERATE RISK CLIENTS
Individuals at moderate risk may participate in aerobic
physical activity/exercise at a light or moderate intensity
(Refer to the exercise intensity table on page 2)
< 2 RISK FACTORS – LOW RISK CLIENTS
Individuals at low risk may participate in aerobic physical
activity/exercise up to a vigorous or high intensity
(Refer to the exercise intensity table on page 2)
9. Have you spent time in hospital (including day admission) for
any medical condition/illness/injury during the last 12 months?
Yes No
If yes, provide details
10. Are you currently taking a prescribed medication(s)
for any medical conditions(s)? Yes No
If yes, what is the medical condition(s)?
11. Are you pregnant or have you given birth within
the last 12 months? Yes No
If yes, provide details. I am _____________
months pregnant or postnatal (circle).
12. Do you have any muscle, bone or joint pain or soreness that is
made worse by particular types of activity? Yes No
If yes, provide details
Page 6
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