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9. Measurements & assessments

Filled by Coach  ·  Questions 51  ·  Time ~45 min in person  ·  Prefix meas_, screen_, test_*

Completed by the coach at the baseline appointment, not by the client at home. Every field is optional at the form level — what gets measured depends on the goal, the client's consent, and what section 2 allowed.

Prerequisites

Do not run any of section 9.5 until:

  1. Section 2 is complete and any Yes on the PAR-Q+ has been resolved, with clearance on file where indicated.
  2. Resting blood pressure and heart rate (9.3) are within safe limits — see Screening red flags.
  3. The client has given explicit consent for physical measurement (consent_measurement in section 11).

Skip 9.4 entirely if meas_weight_aware indicates the client would rather not know, or nut_disordered_history is Yes.

9.1 Session details

Repeatability beats precision

Note the conditions and reproduce them at every re-test. A tape measure used the same way each time tells you more about the trend than a DEXA scan taken once.

9.2 What the client already knows

Asked before anything is measured, and asked of the client rather than the scale.

Borrowed directly from the source sheet

The practitioner sheet asks מודעת למשקל and מודעת ל-% שומן — literally aware of your weight / aware of your body fat — rather than demanding the figures. It's a better question than the one I had, for two reasons.

It captures the client's relationship with the number, which determines whether the number is safe to use at all. And it gives a graceful way to decline that isn't a blank field, so you can tell "won't say" apart from "skipped the form."

meas_blind_weigh follows from it: weighing a client while turning the display away is standard practice in eating-disorder-aware settings, and costs nothing to offer to everyone.

These answers are binding

I'd rather not know, I don't want to discuss body fat, or I'd rather not be weighed at all override the rest of this section. Do not weigh, do not measure, do not mention the number later. Read alongside nut_disordered_history in section 7.

9.3 Vitals & anthropometrics

9.4 Body composition

Requires consent_measurement. Skip per the prerequisites above.

9.5 Movement screen

Score each: 0 = unable or painful · 1 = compensated · 2 = competent · 3 = clean and controlled. Record where the compensation appeared, not just the number.

Pain ends the screen

If screen_pain_provoked is Yes, stop testing, record what provoked it, and route back to section 4. Do not proceed to 9.6.

9.6 Capacity tests

Select only what is appropriate for the client's screening status and goal.

Estimate, don't max out

On a first assessment, use submaximal sets and an estimation formula rather than a true 1RM attempt. The number is barely less accurate and the risk is an order of magnitude lower.

9.7 Coach notes

9.8 Red flags

Stop and refer immediately — no assessment, no session, today:

  • Resting blood pressure at or above 180/110 mmHg on two readings (meas_bp_systolic / meas_bp_diastolic)
  • Resting heart rate below 40 or above 120 bpm in an asymptomatic client, unexplained by medication (meas_resting_hr)

Clearance required before training:

  • Resting blood pressure at or above 160/100 mmHg (meas_bp_systolic / meas_bp_diastolic)

Proceed with caution:

Flag Source field Typical modification
Blood pressure 140–159 / 90–99 meas_bp_* Avoid Valsalva, breath-holding, heavy isometrics and inverted positions; recheck each session
Declines to know or discuss weight meas_weight_aware, meas_blind_weigh Skip 9.2–9.4 entirely; progress by performance and how clothes fit

If a stop condition fires here, use the wording in Stop conditions and route the client to their doctor before continuing.

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