Thomas Long completed a health screening test that assessed his heart, breathing, blood pressure, activity level, diet, and history of physical activity and sports. He reported no heart or breathing problems, no history of high blood pressure, being moderately active at a 6 out of 10, describing himself as healthy, having a balanced diet, always being physically active, and playing a sport.

1. Thomas Long’sHealth screeningtest.
HEALTH SCREENING TEST
PLEASE COMPLETE
Scale 1-10.1 meaning none10 meaning allot
NAME:
DOB:
HEIGHT:
WEIGHT:
Have youever been
diagnosed with any
heart problems?
Do youhave any
breathing problems?
(Asthmaforexample) If
so how serious is this.
Have you ever had
High bloodpressure at
a resting heart rate?
How active are you
currently? (1-10)
Would youdescribe
yourself as healthy?
Do youeat a balanced
diet?
Have youalways been
physically active?
Do youplay a sport?