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One 140-item multiple-choice exam (125 scored) built from four performance domains: Health and Fitness Assessment (33%), Exercise Prescription and Implementation (40%), Exercise Counseling and Behavior Modification (20%), Risk Management and Professional Responsibilities (7%)
A U.S. professional certification of the American College of Sports Medicine (headquartered in Indianapolis, IN); delivered at Pearson VUE test centers across the globe and via OnVUE online proctoring, but the exam specification is the single U.S. national one.
Minimum of a bachelor's degree in exercise science, exercise physiology or kinesiology; current Adult CPR/AED certification (First Aid starting 2027); application with documentation submitted via the MyACSM portal before scheduling
Retake allowed 15 days after a failed attempt; up to 4 attempts in a 12-month period, then a 12-month wait after the 4th attempt