LeadershipTest + Presentation

Healthy Living

A 50-question wellness test from the NASM course, then top scorers present a portfolio documenting a year-long personal SMART health goal in five minutes.

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About this event

Healthy Living is a solo two-round event for the Secondary and Postsecondary/Collegiate divisions, sponsored by the National Academy of Sports Medicine. Round One is a 50-question multiple-choice test in 60 minutes written from the HOSA Healthy Living course NASM built for the event: nutrition and physical activity are 25 percent each, wellness through the lifespan and disease prevention 20 percent each, and mental health 10 percent. Separately, each competitor sets one personal SMART goal for the period July 1, 2026 to May 15, 2027 (after a baseline health assessment and ideally a visit with a licensed provider; fad diets are discouraged) and documents the journey in a printed portfolio with a title page, the baseline assessment, a parent and advisor permission form for competitors 17 or younger, evidence of progress and a reference page. Top test scorers advance to Round Two, a five-minute presentation that explains the goal and uses the portfolio as evidence of progress; judges then score the portfolio pages. The 135-point rubric rewards a true SMART goal, sustained effort over most of the year, measurable baseline data, a confident account of the journey and smooth use of the portfolio. Test and presentation scores are added and ties go to the higher test score.

Test day

What to expect

Round One test, then Round Two

Round One is a 50-question test in 60 minutes; the top scorers advance to Round Two. Official format: 50-question test, 60 minutes, then a 5-minute portfolio presentation for top scorers.

Written from the test plan

Questions follow the event's published test plan, section by section, and are written from the listed reference texts. Practice questions here are drawn in the same proportions.

How you advance

How many advance from regionals to states and on to the International Leadership Conference (ILC) depends on your association's rules. Study the official test plan: it lists each section and its share of the test.

What judges score

A. Presentation SMART Goal: Goal follows SMART formula (10), Goal is consistent with practicing healthy living beyond HOSA competition (10), The goal is challenging but attainable (10)B. Presentation Content: Competitor worked toward or maintained the goal for most of this year (10), Evidence provides healthy proof of progress toward the goal (10), Evidence provides clear, measurable, baseline data (10), Context: verbal explanation clearly describes the journey (20), Incorporation of the portfolio during the presentation (20)C. Presentation Delivery: Voice (5), Stage Presence (5), Diction, Pronunciation, Grammar (5)D. Portfolio Requirements: Title Page (5), Baseline Health Assessment (5), Parental/Advisor Permission Form included if applicable (5), Reference Page(s) (5); total 135

What's on the test

Nutrition · 25%Physical Activity · 25%Mental Health · 10%Wellness through the Lifespan · 20%Disease Prevention · 20%

Study resources

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