Health/Medical History Questionnaire

Question 1

4 Medical risk factors specific to modern society caused by increase in automation and decrease in physical activity.

Answer 1

1. Low back pain - in 4 out of 6 Americans
2. Knee injuries - 100,000 injuries to the ACL each yr., majority sports related, to young 15-25
3. Chronic disease - obesity, diabetes, hypertension, and other heart conditions.
4. Kinetic chain injuries - from poor posture, repetitive sitting, lack of muscle support

Question 2

7 Pharmacological class of common medications and their physiological effects on the body. A

Answer 2

1. Beta blockers - treat high blood pressure (hypertension) or irregular heart rate (arrhythmia)
2. Calcium-channel blockers - treat high blood pressure or angina, which is chest pain caused by inadeqyate blood flow to the heart
3. Nitrates - treat high blood pressure or congestive heart failure, which result from the hrsrt’s inability to adequately pump blood to the body’s organs.
4. Diuretics - help purge excess water from the body and are often ysed to treat edema, congestive heart failure, high blood pressure.
5. Brochodilators - alleviate constriction in the bronchi and bronchied of the lungs and are often used to.treat pulmonary disorders such as asthma
6. Vasodilators - relax blood vessels and are often used to treat high blood pressure
7. Antidepressants - mood elevators and stabilizers often used to help alleviate symptoms of depression and other psychiatric disorders

Question 3

3 general causes of kinetic chain dysfunction which can help determine contraindicated activities

Answer 3

1. Injuries and/or pain
   • sprains, strains (esp ankle,
   groin, hamstring)
   • tendinitis (esp knee/patellar,
   shins/posterior tibialis, arch
   /plantar fasciitis)
   • chronic headaches
2. Surgeries, esp
   • those performed on joints
   • those cutting abdominal wall
3. Chronic conditions or diseases
   • coronary heart/artery disease or
   congestive heart failure
   • cardiovascular disease or
   hypertension
   • high cholesterol
   • lung or breathing problems
   • diabetes mellitus

Question 4

2 reasons to gather subjective information about a persons general history and 4 areas this might be gleaned from.

Answer 4

1. To learn about a persons movement patterns and structure
2. To help determine the clients capacity for additional movement

This information can be gathered by asking about
1. Occupation
2. Recreational activities
3. Hobbies
4. What they might like to do but
don’t (for some reason)

Question 5

5 things a personal trainer absolutely should not attempt to provide to their client

Answer 5

1. Medical rehabilitation
2. Exercises intended to serve as
   medical treatments
3. Specific diets or nutritional
   supplements
4. Treatment for chronic diseases or
   injuries
5. Personal counseling

Question 6

3 purposes of the PAR-Q

Answer 6

1. To determine whether a person has a cardiorespiratory dysfunction
   (such as coronary heart disease)
2. To alert the trainer to clients who may need mefical attention.
3. To help the health and fitness professional to assign clients appropriate activity levels: low- med-high.

Question 7

5 areas the PAR-Q focuses on (on which the questions are based)

Answer 7

Does the client:
1. Feel chest pain (at any time)
2. Lose balance or consciousness
3. Experience bone or joint
problems
4. Take medication for high blood
pressure or a heart condition
5. Know of any reason that he or
she should not perform physical
activity

Question 8

5 Common forms a client can expect to fill out during the intake process

Answer 8

1. PAR-Q and You
2. Medical History Questionnaire
3. Client Participation Contract
4. Payment Agreement form
5. Medical Clearance form (if
   needed)

Question 9

What are the 3 purposes of prescreening clients prior to exercise instruction.

Answer 9

1. To assess their medical risk
2. So appropriate goals and exercises can be planned.
3. To acertain whether medical consent is needed in order to begin training.

Question 10

Initial screening incldes information gathered from:
• paperwork
• fitness testing
What kind of information is gathered from each?

Answer 10

From the paperwork:
• clients personal goals
• level of motivation
• health challenges
From fitness testing:
• physiological deficiencies in a
clients training

Question 11

How does the trainer use the sceening information to help the client reach their fitness goals.

Answer 11

1. Evaluates personal deficiencies
2. Addressing the clients goals
3. Begin with the greatest deficiencies and work down to the lesser ones.
4. Connect each specfic goal with an area of weakness
5. Clearly show how the goal will strengthen it
6. Make the goal measureable and attainable.
7. Creat rubric to assess the clients progress at regular intervals.