Fitness Testing Form

• Site

• Name

• Date and Time

  Date

• Prepared by

• Location
  Address

General Information

• Age

• DOB

  Date

• Weight

• Height

Skinfold Girths

• Triceps

• Pectoral

• Midaxilla

• Subscapula

• Abdomen

• Suprailiac

• Quadriceps

Girths Circumference

Flex/ Left

• Neck

• Chest

• Waist

• Hip

• Upper Thigh

• Mid Thigh

• Calf

• Arm

• Forearm

• Shoulder

Relax/Right

• Neck

• Chest

• Waist

• Hip

• Upper Thigh

• Mid Thigh

• Calf

• Arm

• Forearm

• Shoulder

Fitness Scores

• Sit-Reach

• Push-ups

• Sit-ups Crunches

• Total

Vertical Jump

• Hand Height

• Gross Jump

• Net Jump

Other Tests

•Test

• Specify test

• Score

Flexibility

Flexion

• Hip

• Knee

• Ankle / Foot

• Shoulder

• Spine

• Lateral Flex:

• Rotation:

Extension

• Hip

• Knee

• Ankle / Foot

• Shoulder

• Spine

• Lateral Flex:

• Rotation:

Adduction

• Hip

• Shoulder

• Spine

• Lateral Flex:

• Rotation:

Abduction

• Hip

• Shoulder

• Spine

• Lateral Flex:

• Rotation:

External

• Hip

• Knee

• Ankle / Foot

• Shoulder

• Spine

• Lateral Flex:

• Rotation:

Internal

• Hip

• Knee

• Ankle / Foot

• Shoulder

• Spine

• Lateral Flex:

• Rotation:

Resting Values

• Heart Rate

• Systolic

• Diastolic

• Max HR

• 75% Max

• Seat Height

Cycle Ergometer Test

Test

• Watts

• Systolic BP

• Diastolic BP

• RPE

• Head Rate

Aerobic Fitness Test

• Protocol

• Distance

• Minutes

• Seconds

• Heart Rate

• RPE

Treadmill Test

Stage

• Speed

• Grade

Posture

• Scapular

• Shoulder

• Neck

• Spine

• Pelvis

• Feet

Completion

• General Notes

• Prepared by

  Sign