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Chester Step Test data record sheet

DATE TEST SCORE FITNESS RATING


Name: _______________________________ Age:_______ On rate control medication? _______

Max Heartrate:_______beat/min 80% Max HR ________beat/min Step Height:__________

Step level RHR I II III IV V


Heart rate at each level
Exertion score (RPE) at each level

This form was designed for cardiac rehabilitation purposes


The Chester Step Test was designed by K. Sykes

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