I got both the ACSM HFS, and my CSCS a few years ago when I got out of college. The HFS is much more clinical based, so if you're interested in taking blood pressures, rpe, caliper body fat testing and graded exercise testing for clients, I would recomend going with ACSM. Honestly, I got recertified with the CSCS, but am probably going to drop the HFS, just because I hardly used any of the clinical info since I got it. Another thing to look into is the CEC's needed for recertification, I've been doing CEC's for the last few years and most of them applied to my CSCS, however ACSM is really strict on what they will accept. To finish off my recert for my CSCS it ran me about 100.00, to recertify in ACSM, it would cost me between 400.00-600.00, which is more than the test cost in the first place. It's just not worth it to me.
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