Certificate III in Fitness SIS30315

Health & Fitness Consultation Examples Health & Fitness Orientation

(HFO)

Certificate III in Fitness SIS30315

Health & Fitness Consultation Examples v4.0 June 2020

Health & Fitness Consultation: Winston Walters

Name: William Overture Address: 16 Darwin Drive, Longboard, 2023 Contact Number: 0403785373 Email: Over [email protected]

Help Us to Help You What exercise are you doing currently?

Walk the dog five times a week for 30 minutes What have you tried in the past to get into shape?

Just walking Are you satisfied with your health and well-being?

Reasonably happy What is the initial goal that you have in mind?

Become a little bit stronger What do you feel are the obstacles or barriers that could impede your progress?

Never been to a gym before Outline any methods that you can use to overcome these obstacles or barriers?

Have a friend who wants to join the gym with me. Will start with a trainer to build confidence Are you interested in personal training?

Yes

Goal Setting To increase your chances of being successful at achieving your goals, we believe all your goals must be ‘SMART’ – Specific, Measurable, Attainable, Relevant, and Time calibrated.

From the following list, rank, your top three health and fitness-related goals Reduce body fat Improve exercise technique

Rehabilitation Improve cardiovascular fitness

Improve eating habits Improve sport-specific skills

Improve health 2 Increase motivation 3

Increase strength 1 Improve flexibility

Increase muscle size Other:

Improve bone density

On a scale of 1 to 10, how important is it for you to reach your goals? 1 2 3 4 5 6 7 8 9 10

Not Concerned Need More Info Very Keen Urgent

SMART Goal I want to increase my lower and upper body strength by 20% in the next 6 months

Action-oriented SMART Goals I will drink water instead of soft drink every day for the next 2 weeks I will go to the gym no less than two times per week

I understand that this Club or trainer is not able to provide me with medical advice concerning my medical fitness. I agree to seek medical advice. This information is used to the limitations of my ability to exercise. I will not hold this Club or trainer liable in any way for any injuries that may occur while I am on the premises. I understand a Trainer & Assessor from FIT College may call me to verify this consultation was completed.

Signature: Winston Walters Date: 21/04/2020


Pre-exercise Health Questionnaire Stage 1: Winston Walters

1. Has your medical practitioner 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 or discomfort in your chest at rest or during physical activity/exercise?

YES NO 3. Do you ever feel faint, dizzy or lose balance during physical activity/exercise?

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 1 or 2) have you had trouble controlling your blood sugar (glucose) in the

last 3 months? YES NO 6. Do you have any other medical conditions that may require special consideration for you to exercise?

YES NO

If the individual answers YES to any of the first six questions, they are advised to seek guidance from an appropriate allied health professional or their medical practitioner prior to undertaking exercise. If the individual answers NO to all six questions, please proceed to question 7 and calculate the typical weighted physical activity/exercise per week. 7. Describe your current physical activity/exercise levels in a typical week by stating the frequency and

duration at the different intensities.

INTENSITY Light Moderate Vigorous/High Weighted physical activity/exercise per week

FREQUENCY

(Number of sessions per week) 5

Total minutes = (minutes of light + moderate) + (2 x minutes of vigorous)

DURATION

(Total Minutes per week)

150

TOTAL = 150 minutes per week

• If the total is less than 150 minutes per week, then light to moderate intensity exercise is

recommended. Increase your volume and intensity slowly

• If the total is more than or equal to 150 minutes of exercise per week, then continue with your

current physical activity levels

I believe that to the best of my knowledge, all of the information I have supplied within this screening tool is correct.

SIGNATURE: Winston Walters DATE: 21/04/2020


Pre-exercise Questionnaire Stage 2: Winston Walters

CLIENT DETAILS GUIDELINES FOR ASSESSING RISK 8. Demographics

Age 62 Gender Male

Risk of an adverse event increases with age, particularly males ≥ 45 years, and females ≥ 55 years

9. Family History of heart disease (e.g. stroke, heart attack) Relationship (e.g. father) Age at heart disease event ___________________ ___________________ ___________________ ___________________

A family history of heart disease refers to an adverse event that occurs in relatives, including parents, grandparents, uncles and/or aunts before the age of 55 years.

10. 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? __________________________________________

Smoking, even on a weekly basis, substantially increases the risk for premature death and disability. The negative effects are still present up to at least 6 months post smoking

11. Body Composition Weight (kg) 64 Height (cm) 173 Body Mass Index (kg/m²) 21 Waist Circumference (cm) 68 Hip Circumference (cm) 74 Waist to Hip 0.92

Any of the below increases the risk of chronic diseases: BMI ≥ 30 kg/m Waist > 94cm male or > 80cm female Waist to Hip Ratio: Female - 0.81 - 0.85 = Increased risk ≥ 0.86 = High Risk Male - 0.96 - 1.00 = Increased risk ≥ 1.01 = High Risk

12. Have you been told that you have high blood pressure?

YES NO

If known systolic/diastolic (mmHg) __________________________________________ Are you taking any medication for this condition?

YES NO

If yes provide details __________________________________________

Either of the below increases the risk of heart disease: Systolic blood pressure ≥ 140 mmHg Diastolic blood pressure ≥ 90 mmHg

13. Have you been told that you have high cholesterol/blood lipids?

YES NO

If Known: Total Cholesterol (mmol/L) ____________________ HDL (mmol/L) ____________________ LDL (mmol/L) ____________________ Triglycerides ____________________ Are you taking any medication for this condition?

YES NO If yes provide details ______________________________

Either of the below increases the risk of heart disease: Total cholesterol ≥ 5.2 mmol/L HDL < 1.0 mmol/L LDL ≥ 3.4 mmol/L Triglycerides ≥ 1.7 mmol/L


14. Have you been told that you have high blood sugar (glucose)?

YES NO If known: Fasting blood glucose (mmol/L) ________________ Are you taking any medication for this condition?

YES NO If yes provide details __________________________________________

Fasting blood sugar (glucose) ≥ 5.5 mmol/L increases the risk of diabetes.

15. Are you currently prescribed medication(s) for any condition(s)? These are additional to those already provided

YES NO If yes, what are the medical conditions? __________________________________________

Taking medication indicates a medically diagnosed problem. Judgment is required when taking medication information into account for determining appropriate exercise prescription because it is common for clients to list ‘medications’ that include contraceptive pills, vitamin supplements and other non-pharmaceutical tablets. Fitness professionals are not expected to have an exhaustive understanding of medications. Therefore, it may be important to use common language to describe what medical conditions the drugs are prescribed for

16. Have you spent time in hospital (including any admission) for any condition/illness/injury during the last 12 months?

YES NO If yes, provide details __________________________________________

There are positive relationships between illness rates and death versus the number and length of hospital admissions in the previous 12 months. This includes admissions for heart disease, lung disease (e.g., Chronic Obstructive Pulmonary Disease (COPD) and asthma), dementia, hip fractures, infectious episodes, and inflammatory bowel disease. Admissions are also correlated to ‘poor health’ status and negative health behaviours such as smoking, alcohol consumption and poor diet patterns.

17. Are you pregnant, or have you given birth within the last 12 months?

YES NO If yes, provide details __________________________________________ __________________________________________

During pregnancy and after recent childbirth are times to be more cautious with exercise. Appropriate exercise prescription results in improved health to mother and baby. However, joints gradually loosen to prepare for birth and may lead to an increased risk of injury, especially in the pelvic joints. Activities involving jumping, frequent changes of direction and excessive stretching should be avoided, as should jerky ballistic movements. Guidelines/fact sheets can be found here: 1) www.exerciseismedicine.com.au 2) www.fitness.org.au/Pre-and-Post-Natal-Exercise-Guidelines

18. Do you have any diagnosed muscle, bone, tendon, ligament, or joint problems that you have been told could be made worse by participating in exercise?


Almost everyone has experienced some level of soreness following unaccustomed exercise or activity, but this is not really what this question is designed to identify. Soreness due to unaccustomed activity is not the same as pain in the joint, muscle or bone. Pain is more extreme and may represent an injury, serious inflammatory episode, or infection. If it is an acute injury, then it is possible that further medical guidance may be required.

http://www.exerciseismedicine.com.au/

http://www.fitness.org.au/Pre-and-Post-Natal-Exercise-Guidelines



Health & Fitness Consultation: Amelia Allan Name: Amelia Allan Address: 27 Heaven Drive, Brooklyn Creek, 1023 Contact Number: 0403124576 Email: [email protected]


No exercise What have you tried in the past to get into shape?

A little bit of walking Are you satisfied with your health and well-being?

No What is the initial goal that you have in mind?

Lose some weight and become stronger What do you feel are the obstacles or barriers that could impede your progress?

Do not know how to use gym equipment Outline any methods that you can use to overcome these obstacles or barriers?

Have a trainer show me how to do exercises Are you interested in personal training?

Yes Note: has never done any form of resistance training before Goal Setting To increase your chances of being successful at achieving your goals, we believe all your goals must be ‘SMART’ – Specific, Measurable, Attainable, Relevant, and Time calibrated. From the following list, rank, your top three health and fitness-related goals

Reduce body fat 1 Improve exercise technique

Rehabilitation Improve cardiovascular fitness


Improve health 3 Increase motivation






SMART Goal To be able to exercise for 30 minutes per day, by November

Action-oriented SMART Goals I will only eat takeaway once per week I will go to the gym no less than two times per week

I understand that this Club or trainer is not able to provide me with medical advice concerning my medical fitness. I agree to seek medical advice. This information is used to the limitations of my ability to exercise. I will not hold this Club or trainer liable in any way for any injuries that may occur while I am on the premises. I understand a Trainer & Assessor from FIT College may call me to verify this consultation was completed.

Signature: Amelia Allan Date: 26/4/2020


Pre-exercise Health Questionnaire Stage 1: Amelia Allan

1. Has your medical practitioner ever told you that you have a heart condition, or have you ever suffered a stroke?

YES NO


YES NO 3. Do you ever feel faint, dizzy, or lose balance during physical activity/exercise?

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 1 or 2) have you had trouble controlling your blood sugar (glucose) in

the last 3 months? YES NO 6. Do you have any other medical conditions that may require special consideration for you to

exercise? YES NO

If the individual answers YES to any of the first six questions, they are advised to seek guidance from an appropriate allied health professional or their medical practitioner prior to undertaking exercise. If the individual answers NO to all six questions, please proceed to question 7 and calculate the typical weighted physical activity/exercise per week.

7. Describe your current physical activity/exercise levels in a typical week by stating the frequency

and duration at the different intensities.


FREQUENCY

(Number of sessions per week) 0 0 0


DURATION

(Total Minutes per week) 0 0 0

TOTAL = zero minutes per week

• If the total is less than 150 minutes per week, then light to moderate intensity exercise is

recommended. Increase your volume and intensity slowly

• If the total is more than or equal to 150 minutes of exercise per week, then continue with your current

physical activity levels






Age 56 Gender Female







11. Body Composition

Weight (kg) 64 Height (cm) 162

Body Mass Index (kg/m²) 24.4

Waist Circumference (cm) 68

Hip Circumference (cm) 80

Waist to Hip Ratio 0.80



YES NO


YES NO



13. Have you been told that you have high cholesterol/blood lipids?

YES NO

If Known: Total Cholesterol (mmol/L) ____________________ HDL (mmol/L) ____________________ LDL (mmol/L) ____________________ Triglycerides ____________________ Are you taking any medication for this condition?

YES NO If yes provide details ______________________________

Either of the below increases the risk of heart disease: Total cholesterol ≥ 5.2 mmol/L HDL < 1.0 mmol/L LDL ≥ 3.4 mmol/L Triglycerides ≥ 1.7 mmol/L















18. Do you have any diagnosed muscle, bone, tendon, ligament, or joint problems that you have been told could be made worse by participating in exercise?







Health & Fitness Consultation: Jill McIntosh

Name: Jill McIntosh Address: 63 Hill Avenue, Lullaby Vale, 6390 Contact Number: 09 0098 7765 Email: [email protected]


2 Body Balance classes, 1 Pilates class, 3 walks What have you tried in the past to get into shape?

Gym (weight training) and running Are you satisfied with your health and well-being?

Yes What is the initial goal that you have in mind?

Lose some weight What do you feel are the obstacles or barriers that could impede your progress?

Lack of time to prepare meals Outline any methods that you can use to overcome these obstacles or barriers?

Use pre-cut vegetables and other healthy convenience foods Are you interested in personal training?

No Note: hard to verbally communicate as Jills spoken English is very poor. Baby is twenty-four months old. Goal Setting To increase your chances of being successful at achieving your goals, we believe all your goals must be ‘SMART’ – Specific, Measurable, Attainable, Relevant, and Time calibrated.

From the following list, rank, your top three health and fitness-related goals

Reduce body fat 1 Improve exercise technique

Rehabilitation Improve cardiovascular fitness 3


Improve health Increase motivation






SMART Goal

I want to get back to my pre-baby weight of 56kg by Christmas

Action-oriented SMART Goals Eat some form of carbohydrate, lean protein, fruit and/or vegetable at every meal Add an extra five minutes to my walk each fortnight

I understand that this Club or trainer is not able to provide me with medical advice concerning my medical fitness. I agree to

seek medical advice. This information is used to the limitations of my ability to exercise. I will not hold this Club or trainer liable in any way for any injuries that may occur while I am on the premises. I understand a Trainer & Assessor from FIT College may call me to verify this consultation was completed.

SIGNATURE: Jill McIntosh DATE: 27/04/2020


Pre-exercise Health Questionnaire Stage 1: Jill McIntosh 1. Has your medical practitioner ever told you that you have a heart condition, or have you ever

suffered a stroke? YES NO


YES NO 3. Do you ever feel faint, dizzy, or lose balance during physical activity/exercise?

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 1 or 2) have you had trouble controlling your blood sugar (glucose) in

the last 3 months? YES NO 6. Do you have any other medical conditions that may require special consideration for you to

exercise? YES NO

If the individual answers YES to any of the first six questions, they are advised to seek guidance from an appropriate allied health professional or their medical practitioner prior to undertaking exercise. If the individual answers NO to all six questions, please proceed to question 7 and calculate the typical weighted physical activity/exercise per week.

7. Describe your current physical activity/exercise levels in a typical week by stating the frequency

and duration at the different intensities.


FREQUENCY

(Number of sessions per week)

3


DURATION

(Total Minutes per week)

210

TOTAL = 210 minutes per week

• If the total is less than 150 minutes per week, then light to moderate intensity exercise is recommended

Increase your volume and intensity slowly

• If the total is more than or equal to 150 minutes of exercise per week, then continue with your current

physical activity levels






Age 26 Gender Female







11. Body Composition

Weight (kg) 65 Height (cm) 175

Body Mass Index (kg/m²) 21.22

Waist Circumference (cm) 69

Hip Circumference (cm) 84

Waist to Hip Ratio 0.82



YES NO


YES NO

















17. Do you have any diagnosed muscle, bone, tendon, ligament or joint problems that you have been told could be made worse by participating in exercise?






Documents

Certificate III in Fitness SIS30315