DECISION SUPPORT TOOL

QUESTIONNAIRE

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Introduction

This tool is designed to let you exercise safely and enjoyably according to your fitness level. Before starting any physical activity program, you should see your health care provider to have a good understanding of your health problems. This tool does not replace medical counselling on any account.

To access the tool, please answer the following question:

My doctor agrees that I participate in physical activities without the supervision of a health professional, even though I have heart or chronic disease.

Yes

Result

Please contact your physician to inform him/her of your desire to participate in this fitness program. If you do not have a family doctor, or if you have any unanswered health questions, contact Sercovie’s kinesiologists for further guidance.

Presentation

Please check all of the following statements that are TRUE.

I do high-intensity exercises at least 3 times a week.

I move regularly (once or twice a week).

I can walk continuously for at least 15 minutes.

I can walk continuously for at least 30 minutes.

I do not use any walking aid on a daily basis (walker, cane).

I did not suffer any balance loss that led to a fall over the last year.

I can easily sit and get back up from a chair without assistance.

I’m usually condident about my balance

I can do exercises in various positions on the ground.

I consider that I do not have any physical limitation (injury, pain, joint problems, etc.).

Your questionnaire has been sent.

You will soon discover the programme that suits you...

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CONTACT US

T. (819) 565-1066 info@move50plus.ca

ADDRESS

300, RUE DU CONSEIL SHERBROOKE (QC) J1G 1J4

LANGUAGE

French