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Fitness

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Fitness Assessment Form Name (last, first) ______________________________ Birth date ___/___/_____ Weight ______lb _____kg Age: ____ Assessment Date ___/___/______ Resting HR ____

Resting Blood Pressure _____/_____ Sex M / F

Height ______in.

Body Composition Bioelectrical Impedance Reading: _______% Body Fat

% Body Fat:

% Lean Mass: _______ BMI

Girth Measurements: Chest: Waist: Hips: Thigh: _____ in _____ in _____ in _____/ _____ in (Right/Left) Calf: Ankle: Upper Arm: Wrist: _____/ _____ in (Right/Left) _____/ _____ in (Right/Left) _____/ _____ in (Right/Left) _____/ _____ in (Right/Left)

Cardiovascular Fitness

Predicted VO2 max:

mL/kg/min

Rockport Fitness Walking Test (1-mile walk) Begin with light warm up by walking and light stretching Time _____ _____ _____ _____ _____ _____ _____ Heart Rate _____ bpm _____ bpm _____ bpm _____ bpm _____ bpm _____ bpm _____ bpm

BYU Jog Test (1-mile) Begin with a 2-3 minute jog to warm up Time _____ _____ _____ _____ _____ _____ _____ Heart Rate _____ bpm _____ bpm _____ bpm _____ bpm _____ bpm _____ bpm _____ bpm

Lap 1: Lap 2: Lap 3: Lap 4: Lap 5: Lap 6: Lap 7:

Lap 1: Lap 2: Lap 3: Lap 4: Lap 5: Lap 6: Lap 7:

Fitness Assessment Form 3 Minute YMCA Step Test (Beginner) Begin with light warm up by walking and light stretching Cadence: 96 bpm McArdle Step Test (Advanced) Begin with light warm up by walking and light stretching Cadence: Men: 96 bpm Women: 88 bpm

Heart Rate: ___________ bpm Heart Rate: ___________ bpm Muscular Endurance Push-ups / min: _______ YMCA Bench Press Test: ______ reps Sit-ups / min: _______ Flexibility Sit and Reach: 1.) _________ 2.)_________ 3.)_________ Percentile (rank): _____________________ Percentile (rank): _____________________ Percentile (rank): _____________________

Comments/Calculations:

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