[location]
Sign in and receive number
NEW Participant
STATION ONE
- Required paperwork reviewed/turned in:
Informed Consent (#)
Medical Considerations (#)
Health History Quest (#)
Symptom Inventory (#)
Physician's Ref/Appr (#)
MOU for Part/Sup (#)
- Pick up HRA and Assessment Sheet (#)
- Complete HRA and any paperwork needed
STATION TWO
- LTC Chapman review stress portion of HRA
STATION THREE- Resting Heart Rate
- Blood pressure
STATION FOUR- Blood draw for cholesterol test
STATION FIVE
STATION SIX
STATION SEVEN
- Muscle Endurance- One-Minute Sit-ups
- Muscle Endurance- One-Minute Pushups
STATION ONE
- Confirm MicroFit Appt (to finish fitness component assessment)
- Turn in Assessment sheet
- Turn in HRA
- Pick up program schedule
Targeting Fitness Assessment Plan
[date]
[location]
Sign in and receive number
PREVIOUS Participant
STATION ONE
- Complete Informed Consent
- Complete HRA
- Pick up Assessment Sheet (#)
STATION TWO
- LTC Chapman review stress portion of HRA
STATION THREE
- Resting Heart Rate
- Blood pressure
STATION FOUR
- Blood draw for cholesterol test
STATION FIVE
STATION SIX
STATION SEVEN
- Muscle Endurance- One-Minute Sit-ups
- Muscle Endurance- One-Minute Pushups
STATION ONE
GO TO [location]
STATION EIGHT
- Body composition- Weight measurement
- Body composition- Hip and waist measurement
STATION NINE
- Body composition - % body fat by bioelectrical impedance
STATION TEN
- Cardiovascular endurance test- 3 minute step test
STATION ELEVEN
- Muscle strength test- chest press
- Muscle strength test- leg press
STATION TWELVE
- Flexibility test- Sit and Reach
STATION THIRTEEN
- Turn in Assessment Sheet
- Pick up Info Sheet
Please be patient as you follow through the fitness assessment process. We will do our best to have you through within an hour or less. Be sure to turn in the HRA and assessment sheet before leaving. If you have any questions you may contact [name of Coordinator] at [phone and/or email].
The results of your HRA will be returned to you on [date], along with your Health and Fitness Profile and other fitness information. There will be a briefing of the HRA at [time] at [location], if you are interested in learning more specifics about your HRA results. This is part of the MANDATORY Introductory Session for NEW participants.
