INFORMED CONSENT FOR A HEALTH RELATED EXERCISE TEST

1. Explanation of the Exercise Test
You will perform a battery of fitness tests that may include a cardiovascular test on a cycle ergometer or a bench step test, a sit & reach test for flexibility, a push‐up test and a sit‐up test for muscular endurance, and a body composition test which is analyzed by taking several skinfold measures to calculate the percentage of body fat and/or circumference measurements. For the cardiovascular test, the exercise intensity will begin at a level you can easily maintain and will be advanced in stages depending on your fitness level. For the other tests, you will be going to failure. We may stop the tests at any time because of signs of fatigue or you may stop when you wish because of personal feelings of fatigue or discomfort.
2. Risks and Discomforts
There exists the possibility of certain changes occurring during the tests. They include abnormal blood pressure, fainting, disorder of heart beat, and, in rare instances, heart attack, stroke, or death. Every effort will be made to minimize these risks by evaluation of preliminary information relating to your health and fitness and by observations during the tests. Emergency equipment and trained personnel are available to deal with unusual situations that may arise.
3. Responsibilibies of the Parcicipant
Information you possess about your health status or previous experiences of unusual feelings with physical effort may affect the safety and value of your exercise tests. Your prompt reporting of feelings with effort during the exercise tests itself are also of great importance. You are responsible to fully disclose such information when requested by the testing staff.
4. Benefits to be Expected
The results obtained from the exercise tests may assist in diagnosis of your illness or in evaluating what type of physical activities you might do with low risk of harm.
5. Inquiries
Any questions about the procedures used in the exercise tests or in the estimation of functional capacity are encouraged. If you have any doubts or questions, please ask us for further explanations.
7. Freedom of Consent
Your permission to perform these exercise tests are voluntary. You are free to deny consent or stop the test at any point if you so desire.
I have read this form and I understand the test procedures that I will perform. I consent to participate in the tests.