Certified Core Isolators Instructor Assessment

Doc: :man13_ccii_assessment_exerciselog_1013 Apr 2013

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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

5