AF Form 4446A. Department of the Air Force Physical Fitness Screening Questionnaire (FSQ)
The AF Form 4446A is a Physical Fitness Screening Questionnaire (FSQ) used by the Department of the Air Force to gather information about an individual's medical history and potential limitations related to physical fitness.
The main purpose of the form is to ensure that Air Force personnel are physically capable of performing their job duties without risk of injury or worsening existing conditions. The FSQ consists of several parts, including personal information, medical history, current health status, and any limitations or restrictions related to physical activity.
Important fields on the form include current medications, allergies, medical conditions, and previous surgeries or injuries. It is important to accurately fill out this form in order to ensure that any potential risks or limitations are addressed prior to participating in physical fitness activities.
The parties involved in filling out the AF Form 4446A are the Air Force member and their designated healthcare provider. Data required when filling out the form includes personal information, medical history, and any current health conditions or medication use. Additional documents may need to be attached depending on the specific circumstances of the screening.
Examples of application and use cases for the AF Form 4446A include pre-deployment medical screenings, annual physicals, and post-injury recovery assessments. The form is necessary for ensuring the safety and well-being of Air Force personnel and preventing potential injuries or complications during physical activity.
Strengths of the AF Form 4446A include its thoroughness and accuracy in identifying potential limitations and risks related to physical fitness. Weaknesses may include potential discrepancies in self-reported medical history or limitations. Opportunities for improvement could include incorporating new questions or categories related to emerging medical conditions or concerns.
Related forms include the Department of Defense Medical Examination Review Board (DoDMERB) Medical History Form and the DD Form 2807-1 Report of Medical History, which have similar purposes but may differ in specific testing requirements or assessment criteria.
Filling out the AF Form 4446A can have a significant impact on the future physical activity of the participant, as it can identify potential risks or limitations that may need to be addressed prior to participating in certain activities. The form is submitted to the participant's designated healthcare provider and stored in their medical record.
Overall, the AF Form 4446A is an important tool for ensuring the safety and well-being of Air Force personnel and preventing potential injuries or complications during physical activity.