Medical Considerations Questionnaire: The purpose of this fact sheet is to help the Program Coordinator determine whether or not a medical screening should be conducted prior to engaging in a physical activity program. It is designed from the Physical Activity Readiness Questionnaire (PAR-Q). (See page 35 in the Program Coordinator's Guide for the PAR-Q and page 49 in the Participant's Guide for the Medical Considerations Questionnaire.)

Health History Questionnaire: This form has been designed to identify those people for whom physical activity might be inappropriate or for those who should seek medical advice concerning the type of activity most suitable for them. This form can be found on page 50 in the Participant's Guide.

Symptom Inventory Checklist: This form, in conjunction with the Medical Considerations and Health History Questionnaire, provide the Program Coordinator with vital information regarding the individual's medical history and current health condition. If a participant answers "yes" to one or more questions on any of the questionnaires, the program requires the participant to have their Family practitioner complete the Physician Referral/Approval Form (described below, found on pages 55-56). Some exceptions can be made at the discretion of the health care professional. *Note: It is required that a health care professional (i.e. Nurse, physical therapist etc.) review these forms to determine whether or not the individual would need a physician's approval. The Symptom Inventory Checklist can be found on pages 51-53 in the Participant's Guide.

Physician Referral/Approval Form: This form refers the individual to their Family physician based on potential risk factors identified through the administering of the medical screening questionnaires (Medical Considerations Questionnaire, Health History Questionnaire, and the Symptom Inventory Checklist). The approval form is signed by the participant's Family physician, which gives the individual medical approval to participate in the physical fitness program. These forms can be found on pages 55-56 in the Participant's Guide.

Informed Consent: This form gives a brief description of the physical fitness assessment and testing procedures. The undersigned of this form gives informed consent to engage in a series of health and medical evaluations including an exercise test. This form can be found on pages 47-48 in the Participant's Guide.

Physical Fitness Assessment Sheet: This form is where the data on resting heart rate, blood pressure, cholesterol, body composition, body weight, cardiovascular endurance, muscle strength and endurance, and flexibility is recorded. This form can be found on page 59 in the Participant's Guide.

Healthstyle Self-Test: This survey may be used in place of the Health Risk Appraisal (HRA) or in conjunction with the HRA. It is another tool for the participant to assess his lifestyle and behaviors. This form can be found on pages 81-83 in the Participant's Guide.

Memorandum of Understanding for Participants: This form confirms that the participant has read and understands the requirements of the Physical Fitness Regulation. It also releases the United States, The Department of the Army, etc. from any and all claims resulting from any loss, damage, death, or injury to the individual that may arise due to participation in the physical fitness program. This form can be found on page 57 in the Participant's Guide.

Memorandum of Understanding for Participant and Supervisors: This form confirms that the participant has the signed approval from his/her immediate Supervisor and director to participate in the physical fitness program. This form can be found on page 58 in the Participant's Guide.

Registration Letter: This letter is sent out to all civilians who have submitted all of the required paperwork (Memorandums of Understanding for Participant(s) and Supervisors, Medical Consideration Questionnaire, Health History Questionnaire, Symptom Inventory Checklist, Physical Fitness Assessment Sheet, and Physician Referral/Approval Form) to the Health Promotion Coordinator. This letter is the official notification that the participant has completed registration requirements and is currently enrolled in the physical fitness program. The letter is sent to the participant, participant's immediate Supervisor, and director. This form can be found on page 36 in the Program Coordinator's Guide.

Health and Fitness Profile: This form is a summary of findings from the fitness assessment. The scores are transferred onto a scale so the participant can quickly summarize his health and fitness levels. This form can be found on page 80 in the Participant's Guide.

Goal Sheet: This form is for the participant to write both his/her short and long term goals that he/she hopes to achieve during the six month program based on the fitness assessment and other personal objectives. This form can be found on page 98 in the Participant's Guide.

Activity Roster: This form is for the participant to track his attendance at the Lifestyle Education classes or to note the administrative hours used during the week to exercise. This form is meant to be noted and/or collected by the Supervisor and turned into the Program Coordinator. Points for incentives would be tracked on this form. This form can be found on page 100 in the Participant's Guide.

Daily Training Log: This form is for the participant to copy and to use for tracking exercise and dietary intake on a daily basis. This form is not meant to be turned into the Supervisor nor the Program Coordinator. This form can be found on page 99 in the Participant's Guide.