ACSM made significant changes in their pre-activity screening criteria -- please see ACSM Guidelines for Exercise Testing and Prescription (10th edition). We published an article in ACSM’s Health & Fitness Journal entitled “Putting the New ACSM Pre-Activity Screening Guidelines into Practice” in the May/June 2017 issue. You can access this article for free at:
In this article, we included the following forms and a description on how to implement them as well as legal issues that are applicable to pre-activity screening. Please read this article before using any of these forms and note the following regarding the files below:
For professionally-guided screening:
The first 2 files below (PASQ Figures 1 and 2) below are PDFs. If you want to make any changes with Figures 1 and 2 – see file #3 below (this is a Word Doc). Figures 3 and 4 (file #4 below) – also Word Docs so you can easily make any changes.
For self-guided screening:
See file #5 below – this is also a Word Doc.
Regarding the Copyright Statement at the bottom of the figures/forms:
Feel free to remove this statement when using these forms in your facility. However, if you choose to publish any of these (e.g., in a book, book chapter, journal article, magazine/newspaper, Internet website, thesis/dissertation, etc.), formal permission from Dr. Eickhoff-Shemek (firstname.lastname@example.org) and the copyright statement will be necessary.
File #1 -- PASQ – Figure 1 (PASQ) – Fillable PDF
File #2 -- PASQ – Figure 2 (Interpretation) -- Fillable PDF
File #3 -- PASQ -- Figure 1 (PASQ) and Figure 2 (Interpretation) – Word Doc
File #4 -- PASQ – Figure 3 (Cover Letter) and Figure 4 (Med. Clearance) – Word Doc
File #5 -- PASQ – Self-Guided – Word Doc