FITNESS ASSESSMENT

NAME: DATE:

RHR: MHR:

BODY MEASUREMENTS

WEGHT: HEIGHT: BODY FAT % (BIOELECTRICAL IMPEDANCE): BMI:

WAIST: CHEST: BICEP (R): BICEP (L): HIPS: THIGH (R):_______

THIGH (L): _CALF (R):______ CALF (L):

POSTURE/BALANCE
STATIC POSTURE:

BALANCE: BF: RF: LF:

DYNAMIC POSTURE:____________________________________________________________________

FITNESS EVALUATION

EXERCISE TIME RESULTS NOTES

2-0-2
PUSH UP
90 SEC

PLANK 90 SEC

4-0-4
SQUAT
90 SEC
2-0-2
WALKING LUNGES
10 EACH LEG

LATERAL DELT LIFT 2-0-2

FRONTAL DELT LIFT 2-0-2

BICEPS CURL 4-0-4

SHOULDER PRESS 2-0-2

20-30
KETTLE BELL SWING
SWINGS

POSTERIOR DELT LIFT 2-0-2

CARDIOVASCULAR TEST
3 MIN
(V02 MAX STEP TEST)