Fitness Assessment

Before starting any new fitness program it is important to assess ones abilities. This includes knowing strengths as well as weaknesses. Ideally, a fitness program would improve weak areas and maintain or improve strength areas. However, before explaining the diagnostic test there are other important factors and preferences that should be identified. These factors and preferences may include the time of day to workout, how much time is available each day to workout, individual or team sports, and finally the goal of the fitness program.

The questionnaire attached (FORM 1-1) is intended to give a fitness trainer the basics they need to personalize a fitness program that will works.

Fitness Assessment Questionnaire

NAME__________________________________ AGE___________ DATE________________

SCHEDULE:
Monday________________________________________________
Tuesday________________________________________________
Wednesday_____________________________________________
Thursday_______________________________________________
Friday__________________________________________________
Saturday________________________________________________

EXERCISE HABITS/ PREFERENCES (Select One)
I ____________________________ to exercise and ________________access to a gym
(like, sometimes like, never want ) (have, do not have)
I like to workout _________________________________
(alone, in a small group, in a large group)
I have ___________________discipline to stick to a fitness program
( a little, some, a lot of)
I need ___________________________to stick to my fitness program
(no help, some help, a lot of help)
I ____________________________ to lift weights
(like, have tried, have never tried)
I prefer to ________________________ for my cardiovascular endurance training
(run, walk, bike, swim, skate)

GOALS
I want to:
A. Improve my overall personal fitness
B. Just pass the APFT
C. Just improve a particular weakness
STATE YOUR PERSONAL GOALS ______________________________________________________ ______________________________________________________ ______________________________________________________

SELF ASSESSMENT (Select: None, Beginner, Average, Above Average, Excellent)
Flexibility________________
Strength__________________
Cardiovascular Endurance____________________

List your weakness ______________________________________________________ ______________________________________________________ ______________________________________________________
List your strengths ______________________________________________________ ______________________________________________________ ______________________________________________________