Level 4 SPECIALIST EXERCISE INSTRUCTOR
Confirmation of Pre-requisites and Professional Practice Unit

To Apply for Level 4 Specialist Exercise Instructor status on REPs you must complete the form below in full and submit at part of your application to join REPs.

Having completed the form and clicked the submit button you will be taken to a confirmation page. If you meet all the pre-requisites and have answered ALL questions from the Professional Practice Unit correctly we ask that you print out the confirmation page and submit along with a Registration Form, supporting documentation and payment.

Before completing the form below please ensure you meet the pre-requisites...click here

SECTION 1. Confirmation of Pre-requisites
please confirm that you meet the pre-requisites to be considered for Level 4 status

Enter Your First Name:
Enter Your Last Name:
I am currently registered with REPs at Level 3 and my member number is:
I am not registered with REPs but hold a recognised Level 3 Advanced Fitness Instructor Qualification (please detail):	Qualification Name Training Provider Date Completed
I hold an additional unit of qualification at Level 3 - you may verify whether a qualification is recognised here:	L3 Adapted Exercises Disabled Persons L3 Advanced Group Exercise to Music L3 Ante & Post Natal L3 Exercise Referrals L3 Frailer Older Adults & Falls Prevention L3 Older Adults L3 Personal Trainer L3 Pilates Instructor L3 Weight Management L3 Yoga Teacher
I have 1,200 hours (1 year) of appropriate professional experience at Level 3:	Yes
I have at least one Level 4 Qualification:	Yes
I have succesfully completed the Professional Practice Unit, below:	Yes

SECTION 2 - Professional Practice Unit

Candidates must answer all questions correctly to be eligible for Level 4. Questions are multiple choice and based on the Professional Practice Paper which may be downloaded here

Question 1
Exercise professionals should ensure the health-related messages they give to clients are based on recognised, reliable sources. Which of the following is an evidence-based source of information? :

a. An experienced exercise professional
b. Guidance from NICE
c. Fitness magazines
d. Internet search engines

Question 2
What is the name of the bodies that will be responsible for commissioning local healthcare services from 2013?

a. Clinical Commissioning Groups
b. Primary Care Trusts
c. Practise Based Commissioners
d. NHS Commissioning Boards

Question 3
What does the acronym JHWS stand for?

a. Joint Health and Wellbeing Service
b. Joint Health and Wellbeing Strategy
c. Joint Health and Welfare Strategy
d. Joint Health and Welfare Service

Question 4
In sequential order, what are the four key steps of the commissioning cycle?

a. Plan, Analyse, Do, Review
b. Analyse, Do, Plan, Review
c. Analyse, Plan, Do, Review
d. Plan, Do, Analyse, Review

Question 5
What is the name of the evidence-based model which aims to encourage local commissioning of physical activity interventions in primary care?

a. Let’s Get Moving
b. Let’s Get Active
c. Let’s Get Physical
d. Let’s Get Energetic

Question 6
What is the name given to a document identifying best practise and key objectives pertaining to specific conditions or population groups?

a. A National Health Framework (NHF)
b. A National Service Framework (NSF)
c. A National Quality Assurance Framework (NQAF)
d. A Quality and Outcomes Framework (QOF)

Question 7
Which independent body determines best practice and best value within the health sector?

a. The Healthcare Communications Association
b. The Department of Public Health, adult social care and the NHS
c. The National Institute of Health and Clinical Excellence
d. The British Heart Foundation National Centre for Physical Activity and Health

Question 8
What four aspects of public health does the Public Health Responsibility Deal aim to influence?

a. Food, drug use, physical activity and workplace health
b. Food, alcohol, drug use and workplace health
c. Food, sexual health, physical activity and workplace health
d. Food, alcohol, physical activity and workplace health

Question 9
When writing to a GP, which of the following would be reported as a symptom?

a. The patient was unable to flex the hip at 90 degrees
b. The patient was unable to stand unaided
c. The patient was breathing heavily by the end of the exercise tolerance test
d. The patient complained of feeling dizzy following the exercise session

Question 10
Who retains clinical liability for a patient who participates in an exercise referral scheme?

a. The medical professional/patient’s GP
b. The fitness professional
c. The exercise referral scheme manager
d. The patient, if they have signed a disclaimer and an informed consent

Question 11
What action should be taken if an exercise referral patient informs you they have decided to stop taking their medication?

a. Monitor the patient closely
b. Inform the GP
c. Adapt the programme accordingly
d. No action as it is the patient’s responsibility

Question 12
How could a person with an internal locus of control be described?

a. More likely to work harder and longer to achieve their goal
b. Not able to resist external pressures
c. Believe they cannot influence a situation
d. Less likely to engage in actions that require more motivation

Question 13
When writing to a GP, which of the following would be reported as a sign?

a. The patient was unable to raise their right arm above 90 degrees
b. The patient complained of pain when performing a squat
c. The patient complained of breathlessness during the exercise session
d. The patient experienced discomfort in the hip when walking

Question 14
Under the Data Protection Act 1998, how long should patient letters be kept for?

a. 2 years
b. 3 years
c. 4 years
d. 5 years

Question 15
What is an example of how the Data Protection Act 1998 states that personal information should be stored?

a. In a private residence
b. In a supervised gym
c. In a locked filing system
d. In a Personal Trainer’s diary

Question 16
Which of the following are essential to consider when choosing measurement techniques and fitness tests?

a. Reliability and test duration
b. Validity and test duration
c. Validity and reliability
d. Test duration and cost

Question 17
Whose responsibility is health and safety within a fitness/leisure centre?

a. Fitness Instructor’s
b. Gym Manager’s
c. Leisure Centre Manager’s
d. Everyone’s

Question 18
What is an example of an exercise referral qualified exercise professional acting outside of their professional boundary?

a. Prescribing exercise for an obese client who has been referred by their GP
b. Taking a client’s blood pressure and informing them it is too high to exercise at the present time
c. Offering a client simple advice on their medical condition and its likely prognosis
d. Seeking advice from a physiotherapist who has recently discharged the client

Question 19
In terms of risk stratification what is the greatest concern for an exercise professional?

a. The risk of a client developing further conditions over time
b. The number of diagnosed medical conditions a client has
c. Clients who have not participated in physical activity for many years
d. The immediate risk of an event being caused “acutely” by participation in exercise

Question 20
What does the acronym IMD stand for?

a. Index of Multiple Deprivation
b. Individual and Multiple Deprivation
c. Individual Monetary Debt
d. Incremental Multiple Deprivation

LEVEL 4 SPECIALIST EXERCISE INSTRUCTOR

Level 4 SPECIALIST EXERCISE INSTRUCTOR Confirmation of Pre-requisites and Professional Practice Unit

Level 4 SPECIALIST EXERCISE INSTRUCTOR
Confirmation of Pre-requisites and Professional Practice Unit