Exercise Risk Assessment Checklist
Complete this checklist before participating in exercise so the assessment can capture relevant exercise type, frequency, risk factors, and readiness information.
Participant Details
Full Name
*
First Name
Last Name
Age Group
*
Please Select
Under 18
18-24
25-34
35-44
45-54
55+
Contact Email
*
example@example.com
Exercise Profile
Primary exercise type
*
Cardio
Strength training
Running
Cycling
HIIT
Yoga
Team sport
Other
Usual session duration (minutes)
*
Please Select
Less than 30
30–45
46–60
61–90
More than 90
Weekly frequency (sessions per week)
*
Intensity and Readiness
Perceived Exertion / Readiness Rating
*
Very Low / Not Ready
1
2
3
4
Very High / Fully Ready
5
1 is Very Low / Not Ready, 5 is Very High / Fully Ready
Exercise Readiness Status
*
Cleared for Exercise
Proceed with Caution
Postpone Exercise
Submit Checklist
Should be Empty: