ACH Premium Classic Questionnaire

After you have completed the health and lifestyle questionnaire your health professional will assess the risk factors and determine if you are able to perform all, or some of the tests included in the assessment. After reading the following, your consent is required and the form is to be signed in the presence of the health professional.

Risks and Discomforts
There exists the possibility of certain changes occurring during exercise. They include abnormal blood pressure, fainting, disorder of heartbeat, and in very rare instances, heart attack or death. Every effort will be made to minimise these through the preliminary examination and by observations during testing. Emergency equipment and trained personnel are available to deal with any emergencies.

Benefits to be expected
The results obtained from the assessments and the exercise test may assist in the diagnosis of illness. The results may also assist in evaluating what type of physical activity is suitable for you to engage in with minimal or no risk.

Questions
Questions about the procedures used in the assessments and / or exercise test, or in the estimation of functional capacity are encouraged. Should you have any doubts or questions, please ask for further explanation.

Freedom of Consent
Your permission to perform these assessments and / or exercise test is voluntary. You are free to deny consent if you so desire.