FITNESS TESTING

FORM
Please complete the following fitness testing
questionnaire to help tailor your personalized
training program.

Personal Information
Name: ______________________________ Date: ________________
Contact no.: ____________________ Email id: ________________________
DOB: ______________ Age: ________ Height: _______ Weight: _________
Gender: __________________________
Working status: ________________________ Job role: __________________
Marital status: ____________________ Residential status: ________________

Emergency Contact Information

Emergency contact name: _________________________________
Relationship with client: __________________________________
Emergency contact no.: ___________________________________

Health Consultant Information

Physician: _________________________________
Specialist: _________________________________
Contact no.: ________________________________

Daily Routine Information

Sleeping hours: ______________ Sleeping time: _______________
Wake-up time: ______________ Breakfast time: _______________
Lunch time: _________ Snacks time: ________ Dinner time: __________
Office timings: _______________ Gym/Workout timings: _____________

Fitness Component’s
1) Please rate your perceived fitness level on a scale from 1 to 10, with 1 being
low and 10 being high
________________________________________________________________
2) Body composition test
i) Body mass index
BMI = W
ei g h t

÷
2
H e i g h t

BMI= _______________
BMI NIH Classification
<18.5 Underweight
18.5 – 24.9 Normal Weight
25 – 29.9 Overweight
30 – 34.9 Obesity 1
35 – 39.9 Obesity 2
>40 Extreme Obesity

ii) Waist to hip ratio

WHR =
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WHR = _______________
3) Cardio vascular endurance
i) Rock port test (Vo2max)