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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 ______________________________________________________
______________________________________________________
______________________________________________________
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