Fitness Assessment Form (Page 4 of 6) in pdf

Fitness Assessment Form Page 4

Availability days-times-duration:

_____________________________________________________________________________________________

PREFERRED/AVOIDED ACTIVITIES

Blood pressure: ______________________________________________________________________________

Resting Heart Rate: __________________________________________________________________________

Weight: _____________________________________________________________________________________

Height: ______________________________________________________________________________________

Girths: _______________________________________________________________________________________

Neck: _______________________________________________________________________________________

Chest: ______________________________________________________________________________________

Waist: _______________________________________________________________________________________

Hips: ________________________________________________________________________________________

Upper Arm: __________________________________________________________________________________

Forearm: ____________________________________________________________________________________

Thigh: _______________________________________________________________________________________

Calf: ________________________________________________________________________________________

POSTURAL ASSESSMENT

Static, Anterior/Posterior/Lateral

• Head

• Hips

• Shoulders

• Weight Shift

• Thoracic Kyphosis

• Knees

• Scapulae

• Patella

• Arm Rotation

• Achilles Tendon

• Arm-Body Gap

• Feet

• Lumbar Lordosis

• Arches

Fitness Assessment Form Page 4