NSCA CSCS (Certified Strength and Conditioning Specialist) guideFormat & scoring
NSCA CSCS Exam Format: Two Sections, 220 Questions and Four Hours of Testing
The NSCA CSCS has a 95-question Scientific Foundations section in 1.5 hours and a 125-question Practical/Applied section in 2.5 hours. Here are the seven domains, the three-option item types, the video and image items, the unscored questions, pacing and test-center rules.
Short answer
The NSCA CSCS exam has two sections, taken at a Pearson VUE test center. Scientific Foundations has 95 multiple-choice questions (80 scored, 15 unscored) in 1.5 hours, covering Exercise Sciences, Sport Psychology and Nutrition. Practical/Applied has 125 questions (110 scored, 15 unscored) in 2.5 hours, covering Program Design, Exercise Technique, Program Implementation, and Organization and Administration, including 30 to 40 video or image items. Every question has three answer options, and a scheduled 15-minute break between sections doesn't count toward exam time.
The CSCS is really two exams scored separately, with a break between them. That matters more than the total of 220 questions: you need a passing scaled score on each section, and the two sections test different kinds of thinking.
The two NSCA CSCS sections at a glance
NSCA's CSCS exam description, the Detailed Content Outline (DCO) in force since July 1, 2025, and the NSCA Certification Handbook give these figures, as checked on October 27, 2026:
| Scientific Foundations | Practical/Applied | |
|---|---|---|
| Questions | 95: 80 scored, 15 non-scored | 125: 110 scored, 15 non-scored |
| Time | 1.5 hours | 2.5 hours |
| Domains | 3 | 4 |
| Video or image items | Number not stated | 30 to 40 |
| Scored items by level (recall / application / analysis) | 24 / 44 / 12 | 21 / 53 / 36 |
| Time per question (Passy's math) | About 57 seconds | 72 seconds |
The handbook numbers them Section 1 (Scientific Foundations) and Section 2 (Practical/Applied). First-time candidates must take both. A candidate who fails one section retakes only that one, within one year of the first exam date, as the one-section retake guide explains.
Scientific Foundations domains and question counts
| Domain | Share | Scored questions | What the DCO lists |
|---|---|---|---|
| Exercise Sciences | 60% | 48 | Muscle and neuromuscular anatomy and physiology, biomechanics, bone and connective tissue, bioenergetics and metabolism, neuroendocrine and cardiopulmonary physiology, training adaptations, integrated physiology and recovery, research and statistics |
| Sport Psychology | 25% | 20 | Motivation and mental skills, the coach-athlete relationship, setbacks, mental health and eating-disorder warning signs, and when to refer |
| Nutrition | 15% | 12 | Nutrition within scope of practice, performance nutrition, alcohol and drugs, evidence-based versus fad approaches to body composition, supplement regulation, benefits and risks |
NSCA's pages name the domains slightly differently ("Exercise Science" on the description page, "Sports Psychology" in one handbook table). They are the same domains.
Practical/Applied domains and question counts
| Domain | Share | Scored questions | What the DCO lists |
|---|---|---|---|
| Program Design | 40% | 44 | Needs analysis, training methods and modes, exercise selection and order, intensity, volume, work:rest and recovery, progression, periodization, return-to-play programs |
| Exercise Technique | 25% | 28 | Movement preparation, free-weight, machine and alternative-equipment technique, Olympic lifts and derivatives, speed, agility and plyometrics, energy system development, restoration |
| Program Implementation | 20% | 22 | Coaching athletes through sessions, testing and monitoring, evaluating and communicating results |
| Organization and Administration | 15% | 16 | Scope of practice and referral, facility policies and safety, risk and liability, unsafe training practices |
The shares are NSCA's rounded figures; the counts are exact. Exercise Technique's 28 of 110 is closer to 25.5%, and Organization and Administration's 16 is about 14.5%. The Practical/Applied guide goes through these four domains task by task. When you practice, it helps to keep the same split: planned practice sorts questions by the seven CSCS domains, the way the DCO does.
What NSCA CSCS questions look like
The handbook describes one format for every item: a multiple-choice question where you "select the best answer from three presented options (e.g., a, b, or c)." There are no essays or written answers. Some questions reference an image or a video, and some describe a situation, or "case."
Questions are written at three levels of thinking, and the DCO gives the count at each level:
- Recall. Recognize a fact, concept or procedure, the kind of question that "can generally be reduced to 'what is x?'"
- Application. Use knowledge in a situation, including basic calculations and "if, then" relationships. The handbook's example asks for a training heart rate with the Karvonen formula.
- Analysis. Weigh several pieces of information, such as a set of test results, to choose the most appropriate answer. This level includes complex calculations and spotting patterns in data.
The balance shifts sharply between sections. In Scientific Foundations, 56 of 80 scored items (70%) are application or analysis. In Practical/Applied, it's 89 of 110 (81%), and in Program Design 42 of its 44 items are above recall. NSCA says the 30 to 40 video and image items in Practical/Applied "assess competencies across multiple domains," so expect them outside Exercise Technique too.
The 15 non-scored questions in each CSCS section
Each section includes 15 pretest questions that NSCA is evaluating for future exams. NSCA says they are scattered among the scored items, don't count toward your score, and don't affect your pass or fail status. You can't tell which ones they are, so give every question the same effort. A question that seems unfamiliar may be a pretest item, or it may count; there is no way to know.
Timing, breaks and pacing on CSCS test day
The two sections add up to four hours of testing. The handbook says the CSCS is the only NSCA exam with a scheduled break: 15 minutes between sections, which doesn't count toward exam time.
Other break and timing rules:
- Unscheduled breaks are allowed at any time, but the clock keeps running. The FAQ says to raise your hand and get the proctor's permission first.
- No study materials during any break: no phone, notes or study guides. Medical items, medicine or food you need at a set time are allowed.
- No extra break time unless it's an approved accommodation.
- Arrival. The handbook recommends arriving at least 15 minutes before your appointment for ID, signature and biometric checks.
A simple pacing check (Passy's arithmetic, not an NSCA rule): be near question 48 at the 45-minute mark of Scientific Foundations, and near question 63 at the 75-minute mark of Practical/Applied. Video and image items may take longer than text items, so a cushion in the first half of Practical/Applied helps. To practice that stamina, a 220-question, four-hour timed mock exam is planned for launch.
Calculator, note board and comments in the CSCS exam
- Calculator. The testing platform has a basic four-function on-screen calculator (add, subtract, multiply, divide). Personal calculators aren't allowed.
- Scratch paper. You get an erasable note board and marker, returned at the end. You can't bring pens, pencils or paper.
- Comments. You can't ask about exam content during the test, but you can leave a written comment on any question with the software's comment function. NSCA says it reviews all comments.
Where you take the CSCS: Pearson VUE test centers only
NSCA exams are given year-round at Pearson VUE test centers. Live remote proctoring through OnVUE is available only for the TSAC-F exam, so the CSCS can't be taken at home. Bring one valid, unexpired ID with your name, photo and signature, with a first and last name that exactly match your registration. The CSCS is also offered in Chinese, Italian, Japanese, Korean and Spanish through NSCA's international affiliates.
What changed with the July 1, 2025 CSCS outline
The DCO comes from a job task analysis that ACS Ventures ran for NSCA in November 2023 with eleven subject-matter experts, followed by a survey of working CSCS professionals. NSCA's summary says the outline "remained almost identical," with a rearrangement of domains and some added tasks:
- The old domain "Testing, Ongoing Monitoring, and Data Evaluation" became Program Implementation, with a new first task: coaching athletes through training sessions
- Test selection moved under the testing and evaluation tasks of that domain
- Exercise Technique went from 7 tasks to 5
- Sport Psychology and Nutrition each went from three tasks to two
Two handbook details can confuse readers. Its Appendix E overview gives Scientific Foundations a seat time of "150 minutes (2.5hrs)," while the handbook's exam content section and NSCA's exam description say 1.5 hours. And its sample DCO excerpt still shows the old Testing and Evaluation domain. For timing, go by the exam description and the handbook's own exam content section, which both say 1.5 hours; for domains, go by the 2025 DCO. If the seat time matters for your plans, for example travel or an accommodation request, confirm it with exams@nsca.com.
Practicing in the CSCS format
The format is fixed, so practice can mirror it: two timed blocks, three answer choices, and many questions built on a situation. Passy's 20 free CSCS practice questions are text-only and use four answer choices, so treat them as content practice rather than a format rehearsal. NSCA's own quizzes and practice tests are sold separately through its store. For the formulas and terms that Scientific Foundations leans on, flashcards planned for launch cover Exercise Sciences terms and formulas. Next, read how each section is scored in the CSCS passing score guide.
Trust the source
Official sources
Exam policies can change. Use these primary sources for the most current details.