Name Teacher Hand-out Date Hand-in date

Assignment 2 – Health Screening

Scenario:As a keen fitness enthusiast, you have been given the opportunity to gain some work experience alongside the fitness instructor at Paignton College’s Fitness Suite. Your placement is going well but your mentor believes that it would be a valuable experience to implement health monitoring tests for two contrasting individuals.

Notice to Candidate

The work you submit for assessment must be your own. If you copy from someone else or allow another candidate to copy from you, or if you cheat in any other way, you may be disqualified from at least the subject concerned.

Declaration by candidate: I have read and understood the Notice to Candidate (above). I have produced the attached work without any help apart from that which has been stated on this sheet.

SIGNED: DATE:

PAIGNTON COMMUNITY & SPORTS COLLEGE

2012 - 2013

BTEC FIRST SPORT- LEVEL 3

Unit 7: Fitness Testing for Sport and Exercise

Grading Criteria Attempt:

Date:

Attempt 1 Attempt 2

P2P3P4M2D1

CURRENT/ FINAL GRADE

P2Health Screening Questionnaire

On the following pages, design a health screening questionnaires (underneath the heading provided) which can be used with athletes. You should look at examples of current health screening forms such as the Par Q.

NAME: AGE:

SMOKING HABITS:

1234

ALCOHOL CONSUMPTION:

1234

DIETRY HABITS:1234

EXERCISE HABITS:

1234

P2 ACHIEVED? Y / N

P3Completing Health Screening Questionnaires

Use appropriate health screening procedures for two different types of individuals, for example a player, coach or a member of support staff.

o Complete the screening forms you designed in task 1 for the two different types of individuals.

o Record their answers on your questionnaire.o Ask one of your clients to fill out an informed consent form.

USE THE SPACE ON NEXT PAGE!!

(CLIENT 1)

(CLIENT 1)

NAME: AGE:

SMOKING HABITS:

1234

ALCOHOL CONSUMPTION:

1234

DIETRY HABITS:1234

EXERCISE HABITS:

1234

(CLIENT 2)

(CLIENT 2)

NAME: AGE:

SMOKING HABITS:

1234

ALCOHOL CONSUMPTION:

1234

DIETRY HABITS:1234

EXERCISE HABITS:

1234

Looking at the information gathered, what are the health risks for your clients? Why might medical referral be necessary?

Client 1:

Client 2:

What would be the risks of exercise for somebody with Coronary Heart Disease?

Informed Consent FormI (print name) consent to participating in this fitness assessment on the following terms:

1. The test procedures have been explained to me and I understand what I will be required to do.

2. I understand that I will be taking part in physical exercise at or near the extent of my capacity and that there is a possible risk in the physical exercise at that level, i.e. episodes of light-headedness, fainting, abnormal blood pressure, chest discomfort, and nausea.

3. I understand that this may occur though the staff in this laboratory will take all proper care in the conduct of the assessment, and I will fully assume that risk.

4. I understand that I can withdraw my consent, freely and without prejudice, at any time before, during, or after testing.

5. I have completed the Physical Activity Readiness Questionnaire and have told the person conducting the test about any illness or physical defect I have that may contribute to the level of that risk.

6. I understand that the information obtained from the test will be treated confidentially with my right to privacy assured. However the information may be used for statistical or scientific reasons with privacy retained and your head coach will receive a copy.

7. I release this laboratory and its employees from any liability for any injury or illness that I may suffer while undertaking the assessment, or subsequently occurring in connection with the assessment, or that is to any extent contributed to by it.

8. I hereby agree that I will present myself for testing in a suitable condition having abided by the requirements for diet and activity advised for me by the fitness testing staff.

Participant signature: __________________________ Date: __________

P3 ACHIEVED? Y / N

P4Health Monitoring Tests

Perform four health monitoring tests for two different types of individuals and interpret the results. To interpret the results you will need to compare them to normative data for health tests.

Your Tutor needs to fill out the observation record at the end of this assignment as evidence that you have carried out the tests correctly and safely.

Test What does it measure

Normative Values

Client 1 score Client 2 score

Heart rate

Lung function

Waist to hip ratio

Body mass index

P4 ACHIEVED? Y / N

M2Strengths / Areas for Improvement

Describe the strengths and areas for improvement for your two different individuals from the health questionnaire and the health monitoring tests.

CLIENT 1

STRENGTHS AREAS FOR IMPROVEMENT

CLIENT 2

STRENGTHS AREAS FOR IMPROVEMENTM2 ACHIEVED? Y / N

D1Evaluation

Evaluate the health screening questionnaires and health monitoring test results, and suggest recommendations for appropriate lifestyle changes. You will need to analyse the results from the health screening results and compare them to the normative data. From this comparison you can then suggest appropriate lifestyle changes such as increasing physical activity or healthy eating.

D1 ACHIEVED? Y / N

Observation Record

Learner’s name:

Qualification:

Unit number & title:

Description of activity undertaken (please be as specific as possible)

Assessment criteria (to which the activity provides evidence)

How the activity meets the requirements of the assessment and grading criteria (please explain how the learner met the criteria and the qualitative aspects of their performance)

Learner’s name:

Learner’s signature: Date:

Assessor’s name:

Assessor’s signature: Date:

BTEC SPORT

INTERNAL VERIFICATION – ASSESSMENT DECISIONSAward AssessorUnitAssessment titleLearner’s nameWhich unit/criteria has the assessor awarded?

Is there valid evidence against the criteria that the assessment covered?

Y/Ndetails

Has the learner work been assessed accurately?

Y/Ndetails

Is the feedback to the learner:

Constructive Linked to relevant

criteria or outcomes Linked to

opportunities for improved performance

Showing actions

Y/NDetails

Does the assessment decision need to be revised?

Y/Ndetails

Internal verifierSignature date*internal verifier should recommend remedial action. Confirmation of remedial action should be completed.Confirmation of remedial actionAssessor DateInternal verifier date