Task 1: Identify Client Needs

Purpose of the form: To be used by the Fitness Professional, in consultation with a client, to gather and review appropriate information to inform future program design. 

Client Details
GIVEN NAME:
FAMILY NAME:
DATE OF BIRTH:
CONTACT NUMBER:

 

Pre-Activity Questionnaire Review 

Fitness Professional to Complete

PHYSICAL ACTIVITY HISTORY

WEEKLY DURATION/FREQ:

MODES:

CURRENT PHYSICAL ACTIVITY

WEEKLY DURATION/FREQ:

MODES:

GENERAL PREFERENCES:

PREFERRED SESSION DURATION:

 

GOAL-SETTING
SMART FITNESS GOAL:	S
	M
	A
	R
	T

 

 

Pre-Exercise Screening Review (APSS)

Fitness Professional to Complete

STAGE 1 OUTCOME:

Exercise Recommendations based on Stage 1 APSS outcome

CURRENT ACTIVITY LEVELS:

Weekly activity levels based on Stage 1 APSS information

REFERRAL REQUIRED?

No

 

Fitness Assessment Results

Fitness Professional to Complete

FITNESS ASSESSMENT #1

 

NAME AND DATE OF ASSESSMENT:		1 Jan 2022
ASSESSMENT PROTOCOLS:	What are the instructions to accurately conduct the assessment?
REQUIRED EQUIPMENT:
ASSESSMENT RESULT:
RATING: (If Applicable)
ASSESSMENT EVALUATION:	How will the result of this assessment affect their exercise program prescription or activities and services you will recommend to them?  What are the capabilities of the client, i.e. what will they be able to do, and what are some things they won't be able to do?   This area can also be used to note observations while you monitored the assessments, and relevant details if they were unable to complete the session, including any need for referral.
FOLLOW UP DATE:	1 Jan 2022

 

FITNESS ASSESSMENT #2 (OPTIONAL)

 

NAME AND DATE OF ASSESSMENT:		1 Jan 2022
ASSESSMENT PROTOCOLS:
REQUIRED EQUIPMENT:
ASSESSMENT RESULT:
RATING: (If Applicable)
ASSESSMENT EVALUATION:
FOLLOW UP DATE:	1 Jan 2022

 

 

Client Notes

Fitness Professional to Complete

 

 This area is for any general notes that you should record from information gathered at any point of the needs analysis, pre-exercise screen, and fitness assessments.   These can be things you have observed or anything the client has said or demonstrated that would affect how you prescribe exercise programs for them or suggest services and activities.

 

Task 2: Develop Exercise Programs         

Using the above completed needs analysis and, develop three (3) resistance exercise programs for client

 

Program Overview
SESSION NAME:		SESSION DATE:
SESSION GOAL(S):		LENGTH OF SESSION:

 

SESSION COMMENTS:

 

SESSION SCHEDULE:	MON	TUE	WED	THU	FRI	SAT	SUN

 

Warm-Up (including a cardiovascular activity and a series of stretches )
Aerobic Warm-Up Activity:	Time:	Intensity:

 

 

Workout Exercises
Exercise:	Sets:	Reps:	Intensity:	Rest:	Comments:

 

Cool-down
Aerobic Cool-down Activity:	Time:	Intensity:

 

 

 

 

Task 3: Instruct Exercise               - Prescribe & Deliver Specific Exercise 

Follow the steps below to demonstrate your ability to prescribe and deliver exercises for specific client demographics. 

Step 1: Complete Question 1 below.

Question 1: For each client demographic, identify one (1) unique aspect related to their anatomy and/or physiology that may impact your selection of suitable exercises.
Female Client	Consider differences in muscular and skeletal structures compared to men
Male Client	Consider differences in muscular and skeletal structures compared to women
Older Adult	Consider differences in skeletal health, muscle mass, etc compared to younger individuals

 

Step 2: Using the table below, prescribe two (2) resistance exercises that are suitable for the five client demographics listed.

	Exercise 1	Exercise 2
MALE
:
FEMALE
OLDER ADULT
ACTIVE CLIENT1
SEDENTARY CLIENT2

¹Performs more than 150 minutes of physical activity per week

²Performs less than  150 minutes of physical activity per week

 

Question 1: Record any agreed-upon program modifications after collecting client feedback. At least one (1) modification must be provided for each client.
Female Client
Male Client
Older Adult

 

Question 2: Select the agreed-upon program evaluation option for each client and record the agreed frequency at which they will take place (e.g. fortnightly, monthly, bi-monthly, etc).
Female Client		Discussion		Discussion + Retesting	Frequency:
Male Client		Discussion		Discussion + Retesting	Frequency:
Older Adult		Discussion		Discussion + Retesting	Frequency:

 

Task 4: Evaluate Exercise Programs

Purpose of the form: This form is used by Fitness Professionals to assess and review client exercise programs. 

 

 

 

POSITIVE FEEDBACK:	CONSTRUCTIVE FEEDBACK:

 

                     GENERAL COMMENTS:

 

 

 

 

TEST NAME:
DATE OF REASSESSMENT:
TEST RESULT:
IMPROVEMENT:

 

 

Part B - Medical Guidance (1 x Client)

Client has requested a reassessment and explain they have been experiencing some sharp pain in their lower back and knees when working out. You arrange a referral to a Physiotherapist to request guidance on how to appropriately manage this. A few days later, you receive an email back from the Physiotherapist:

PHYSIOTHERAPIST: health.com.au>

Hello,

 

Thanks for referring your client to me - we met this morning.

 

Upon testing, they showed some discomfort through their thoracic and lumbar vertebrae. All their physical testing of the cervical spine returned showing normal results. Upon further testing they displayed mild patellar laxity and instability, causing the aforementioned discomfort through their knees. 

 

Further discussion and testing revealed they suffer from joint hypermobility syndrome, a connective tissue disorder whereby their ligaments present as weak and unstable, causing pain and discomfort through associated joint structures. They voiced particular apprehension about high-impact activities, including running. 

 

Under your supervision, I recommend they continue controlled, moderate-intensity resistance training to assist in improving muscular strength. I recommend including some simple activation exercises for their Erector Spinae and Gluteals, such as Prone Supermans and Glute Bridge variations within their warm-up. I recommend Glute Bridges using a resistance band around the knees as a basic progression initially to improve lateral hip stability and gluteal strength.

 

I also request avoiding the following activities:

• High-impact activities to settle their knee pain
• Static stretching in general - as we want to avoid lengthening muscles/ligament structures any further

 

I will leave this for you to incorporate into their ongoing program. 

 

Kind Regards,

 

Your Physiotherapist

Use the medical guidance received in the email above to modify this client's exercise program below:

Question 1: The following questions relate to the scenario presented above and the associated medical guidance received from the Physiotherapist.
a) Using dot points, summarise three (3) program and/or training recommendations received from the Physiotherapist.
b) List four (4) specific exercises that you will include within your modified warm-up and/or main program for this client, based upon the medical guidance received.
1.	2.
3.	4.
c) List the types of exercises or activities you will avoid prescribing within your modified program for this client, based upon the medical guidance received.
1.	2.
d) List one (1) piece of gym equipment required to carry out the Physiotherapists' exercise recommendations.
e) In a short paragraph, briefly describe how following this medical guidance relates to your duty of care for this client.

 

 

Task 5: Modify Exercise Programs

Instructions on how to finihs this task

Design a modified and updated resistance program for each of your three (3) clients. Two of these will be based on your completed program evaluations (Part A above) and one of these will be based on the medical guidance received (Part B above).

 

Program Overview
SESSION NAME:		SESSION DATE:
SESSION GOAL(S):		LENGTH OF SESSION:

 

SESSION COMMENTS:

 

SESSION SCHEDULE:	MON	TUE	WED	THU	FRI	SAT	SUN

 

Warm-Up
Aerobic Warm-Up Activity:	Time:	Intensity:

 

 

Workout Exercises
Exercise:	Sets:	Reps:	Intensity:	Rest:	Comments:

Cool-down
Aerobic Cool-down Activity:	Time:	Intensity: