Health Screening Test 1

Name of interviewer: George Date:10/10/2019
Alexander
Unit 7: Assignment 2 – Task 1

Health Screening Questionnaire – Assignment 2: Task 1

P2 Prepare an appropriate health screening questionnaire


P3 Devise and use appropriate health screening procedures for two contrasting individuals




Personal Information



Bryn Pughsley
Name

Male
Gender

16
Age
13/05/2003
DOB
64
Resting HR
Yes
Informed
Consent?
123
Blood
Pressure


Stages of Change

Pre-Contemplation
Contemplation
Preparation
Action
Maintenance Yes
Relapse
Client Interview

, 1. Are you currently on any medication?

No



2. What made you want to start training?

I wanted to be trained by a professional



3. What are your personal fitness goals/ aspirations?

To gain 3kg of muscle in 3 months



4. How many times a week can you commit to training?
5 times a week



5. How long can you spend doing each session?

1 hour and a half



6. What is your occupation and hours of work?

School, 10-3 30



7. How would you rate your current stress level out of 10?

0



8. Do you have any cultural differences that may affect your programme?

No I do not



9. What are your personal nutrition goals/ aspirations?

I would like to eat healthily.