YouCan Fitness Pre-Exercise Screening
This form will take approximately 5-10 minutes to complete.
The questions in this screening tool are taken from the Exercise & Sports Science Australia Adult Pre-Exercise Screening System (APSS) which also includes guidelines (User guide here -
) on how to use the information collected and to address the aims of each stage. No warranty of safety should result from its use. The screening system in no way guarantees against injury or death. No responsibility or liability whatsoever can be accepted by Exercise & Sport Science Australia, Fitness Australia, Sports Medicine Australia or Exercise is Medicine for any loss, damage, or injury that may arise from any person acting on any statement or information contained in this system.
Should you have any questions about the screening form please contact me for clarification at
Your full name
Your Phone number
Your Date of Birth
Page 1 of 6
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service