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Certified Core Isolators Instructor Assessment

Exercise Log Assessment for Certified Core Isolators
Instructor Course
Student First Name
Student Surname
Email Address
Date Submitted
Introduction:
 This is a practical assessment.
 The student must provide record of use of Core Isolators in an exercise environment.
 The student must instruct a user to exercise on the Core Isolators.
 The user must verify via this form – the Exercise Log.
Practical Assessment:
1. The student will instruct a user on a single Core Isolators exercise listed in the 7
Week 7 Stage Core Isolators Exercise Program.
2. The user will sign-off on the Exercise Log confirming.
3. To pass the student must complete 5 entry logs.
4. Any exercise can be selected.
5. A single user can only complete two (2) logs. This means at least three (3) people are
required to achieve 5 entry logs.
6. Scan and submit this form.
Exercise Log
Entry Log
#

Date

Client

CI Exercise
Y/N

Client Initials

1
2
3
4

Page

1

5

Doc: :man13_ccii_assessment_exerciselog_1013

Apr 2013

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CCII Assessment 3

  • 1. Certified Core Isolators Instructor Assessment Exercise Log Assessment for Certified Core Isolators Instructor Course Student First Name Student Surname Email Address Date Submitted Introduction:  This is a practical assessment.  The student must provide record of use of Core Isolators in an exercise environment.  The student must instruct a user to exercise on the Core Isolators.  The user must verify via this form – the Exercise Log. Practical Assessment: 1. The student will instruct a user on a single Core Isolators exercise listed in the 7 Week 7 Stage Core Isolators Exercise Program. 2. The user will sign-off on the Exercise Log confirming. 3. To pass the student must complete 5 entry logs. 4. Any exercise can be selected. 5. A single user can only complete two (2) logs. This means at least three (3) people are required to achieve 5 entry logs. 6. Scan and submit this form. Exercise Log Entry Log # Date Client CI Exercise Y/N Client Initials 1 2 3 4 Page 1 5 Doc: :man13_ccii_assessment_exerciselog_1013 Apr 2013