\"Doctor, is it essential to undergo a physical examination before beginning the exercise?\" This question is often hurled at the exercise consultant. It is not easy to answer as there are both pros and cons to this answer. In the present chapter you are informed about components of Pre-exercise assessment. These are Medical history, Family history, Personal habits, Clinical examination, Investigations like Blood sugar level, Lipid profile, 12-Lead ECG, Stress test (graded exercise test). In the ZOOM IN section you will find \'Coronary artery disease risk factors\'. In a nutshell, this is a concise chapter to inform the reader about indications of Pre-exercise health assessment.