DAF Form 4446A: Air Force FSQ Download & Guide 2026 – The DAF Form 4446A, officially titled the Department of the Air Force Physical Fitness Screening Questionnaire (FSQ), is a critical safety document required for all Regular Air Force, Air Force Reserve, Air National Guard, and U.S. Space Force members before taking the Physical Fitness Readiness Assessment (PFRA), also known as the Air Force fitness test.
Prescribed by DAFMAN 36-2905 (Department of the Air Force Physical Fitness Program), this form screens for medical risks and ensures Airmen can safely participate in a maximum-effort assessment. Honesty when completing it protects your health and career.
Why the FSQ Matters: Safety First?
The Air Force Physical Fitness Assessment is a maximum-effort test. Airmen who have not exercised regularly or who have underlying risk factors face a higher risk of injury or, in rare cases, serious cardiac events. The FSQ identifies these risks early so that members can receive proper medical evaluation and clearance if needed.
Key point: You must complete and review the FSQ with your Unit Fitness Program Manager (UFPM) or Fitness Assessment Cell (FAC) before every official or diagnostic PFRA. If your health status changes between completing the form and test day, you must update it.
Download the official DAF Form 4446A here: https://static.e-publishing.af.mil/production/1/af_a1/form/daf4446a/daf4446a.pdf
Who Must Complete DAF Form 4446A?
- All active-duty, Reserve, and Guard Airmen and Guardians.
- Members taking diagnostic or official PFRAs (including the updated 2026 standards with options like the 2-mile run or High Aerobic Multi-shuttle Run – HAMR).
- Anyone required to participate in the Physical Fitness Readiness Program (PFRP).
The form is not optional. The PFRA Administrator will not administer the test without a properly completed FSQ.
How to Complete the DAF Form 4446A? (Step-by-Step)
The form is a 2-page questionnaire (typically printed front and back) with conditional logic—your answers determine whether you proceed or require medical review. Answer honestly; it is for your safety.
Personal Information (top of form):
- Rank/Name, Office Symbol, Duty Phone, etc.
Main Screening Sections:
- Profile or Exemption / Symptoms Check
- Question 1A: Do you have a current profile or exemption?
- Question 1B: Have you experienced any listed symptoms or conditions not yet medically evaluated and cleared for unrestricted physical training? Symptoms include unexplained chest discomfort, shortness of breath, dizziness/fainting with exertion, heart palpitations, fever/flu-like symptoms, unusual leg pain/cramping, family history of sudden death before age 40, or other conditions (e.g., recent COVID-19, diabetes, heart disease, rhabdomyolysis, heat stroke, new medications, or surgical issues).
- If Yes to any in 1C → Stop. Notify your UFPM, complete the form, and hand-carry it to your Primary Care Provider (PCP) or appropriate medical provider for evaluation.
- Sickle Cell Trait (SCT) Screening
- Check your status in myIMR (https://imr.afms.mil).
- If you have SCT, you must have completed two counseling sessions (at some point in your career) and watch the annual educational video.
- Failure to meet requirements routes you to medical review.
- Recent Physical Activity
- Have you engaged in vigorous physical activity (sweating + moderate-to-severe increase in breathing/heart rate) averaging at least 30 minutes per session, 3 days per week, over the last 3 months?
- No → Stop and seek medical clearance.
- Additional Risk Factors (only if you answered “No” to recent vigorous activity):
- Tobacco use in last 30 days, diabetes, uncontrolled high blood pressure or cholesterol, family history of heart disease, age thresholds (men >45, women >55), or recent COVID-19 without clearance.
- Any “Yes” → Medical evaluation required.
Signature: You affirm that answers are truthful and acknowledge warning signs (chest pain, shortness of breath, dizziness, etc.) that require you to stop exercising and seek immediate care.
Medical Provider Section (if evaluation needed): The provider documents clearance (or restrictions) for specific components, such as maximal effort run/HAMR, sub-maximal walk, push-ups/hand-release push-ups, and core exercises (sit-ups, cross-leg reverse crunch, or plank). An AF Form 469 (Duty Limiting Condition Report) may be initiated if limitations exceed 30 days, often with an exercise prescription per DAFMAN 36-2905.
What Happens After Completing the FSQ?
- All “No” / cleared path: Sign and return to UFPM/FAC. You may take the PFRA.
- Any “Yes” triggering medical review: Get evaluated, obtain clearance/restrictions, and reschedule the test if needed.
- Bring the completed FSQ (and any AF Form 469) to your fitness assessment.
- Results and documentation are uploaded to myFitness.
Note on 2026 PFRA Changes: The Air Force is transitioning to updated standards, including Waist-to-Height Ratio (WHtR) for body composition, new scoring, a 2-mile run option (or HAMR), and testing every six months. A diagnostic period helps Airmen adapt. The FSQ process remains the required safety gate for all testing.
Common Questions About DAF Form 4446A
- How often do I need to complete it? Before every scheduled PFRA. Update if your health changes.
- What if I have a profile? Disclose it; medical will determine clearance for specific components.
- SCT positive? Complete required counseling and annual video—do not skip.
- Where to get medical clearance? Start with your Primary Care Provider or, for ARC members, the Medical Liaison Officer (MLO) who can refer as needed.
- Pair with DAF Form 4446: The FSQ (4446A) pairs with the Physical Fitness Assessment Scorecard (DAF Form 4446), which records your actual test results.
Tips for Airmen
- Prepare by maintaining consistent vigorous exercise (at least 3x/week) to reduce the chance of medical routing.
- Keep your myIMR records up to date, especially SCT status.
- If in doubt about any symptom or condition, err on the side of medical consultation.
- Review the full DAFMAN 36-2905 for the latest policy on the Physical Fitness Readiness Program.
Staying fit is a cornerstone of Air Force and Space Force readiness. The DAF Form 4446A helps protect you while supporting mission capability.
Official Resources:
- Download DAF Form 4446A: [Link provided above]
- DAFMAN 36-2905: Available via e-Publishing or AFPC Fitness Program page (afpc.af.mil)
- myFitness / myIMR portals for records and status
Always consult your UFPM, FAC, or medical provider for personalized guidance. Policies can evolve—verify the latest version on official Air Force e-Publishing or AFPC sites.
This article is for informational purposes and reflects publicly available guidance as of 2026. It is not a substitute for official military instructions or medical advice.