Title Page

  • Site

  • Name

  • Date and Time

  • Prepared by

  • Location

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

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