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.
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.
