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Work Capacity Test Administrator's Guide
Complete sections A and B of the following health screening questionnaire (HSQ). Mark all true statements and provide the information requested.
To accurately assess your health risk:
In section A, list the prescription medications you currently take.
In section B, in order to determine if you are more than 20 pounds overweight, consult the body mass index (BMI) chart following the HSQ. If your height and weight yield a BMI score above 25, you are more than 20 pounds overweight.
If you check one or more boxes in section A, or two or more in section B, agency policy may require you to have a medical examination before you participate in training or take the work capacity test.
Health Screening Questionnaire (PDF—21 kb)
Body Mass Index (PDF—14 kb)
Work Capacity Test Record, Department of the Interior (PDF—23 kb)
Health Screening Questionnaire, Department of the Interior (PDF—30 kb)
Interagency Annual Medical History and Clearance (PDF—154 kb)
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