Inspection

General Information

Age

DOB

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
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.