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Updated: Sep 21, 2026
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Writing difficulty of ACSM 020-222: ACSM Health/Fitness Instructor Exam
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Reference: https://www.acsm.org/certification/get-certified/exercise-physiologist
ACSM 020-222 Exam Overview:
| Certification Vendor: | American College of Sports Medicine (ACSM) |
|---|---|
| Exam Name: | ACSM Health/Fitness Instructor Exam |
| Exam Number: | 020-222 |
| Exam Format: | Multiple-choice questions, Computer-based |
| Related Certifications: | ACSM Certified Group Exercise Instructor ACSM Certified Personal Trainer |
| Exam Duration: | 90–94 minutes |
| Real Exam Qty: | 75 |
| Certificate Validity Period: | 3 years |
| Available Languages: | English |
| Passing Score: | 65% or equivalent scaled score |
| Exam Price: | $279 (ACSM members), $349 (non-members) |
| Recommended Training: | ACSM Official Study Materials |
| Exam Registration: | ACSM Official Registration |
| Sample Questions: | ACSM 020-222 Sample Questions |
| Exam Way: | Computer-based testing at authorized centers or online proctored |
| Pre Condition: | High school diploma or equivalent; recommended coursework in anatomy, physiology, exercise science |
| Official Syllabus URL: | https://www.acsm.org/certification/get-certified/health-fitness-instructor |
Cost of ACSM 020-222: ACSM Health/Fitness Instructor Exam
The price of the 020-222 test is $279 for participants and $349 for non-members.
ACSM 020-222 Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Initial Client Consultation and Assessment | 25% | - Medical history collection and informed consent - Interpretation of assessment results and goal setting - Health screening and risk stratification - Fitness assessment protocols and measurements |
| Exercise Prescription and Programming | 43% | - Program modifications for special populations - Designing safe, effective exercise programs - Principles of exercise physiology and anatomy - Cardiorespiratory, resistance, flexibility training |
| Exercise Leadership and Client Education | 22% | - Client education on health, nutrition, and lifestyle - Motivational strategies and behavior change - Monitoring and adjusting exercise sessions - Exercise technique demonstration and cueing |
| Legal and Professional Responsibilities | 10% | - Continuing education and professional development - Liability, risk management, and emergency procedures - Confidentiality and documentation - Scope of practice and professional ethics |
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