Fitness Assessment

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TRAINING
CLASSES
CONTACT
APPAREL
EQUIPMENT

CLIENT

Name

Age

Start date

Start weight

Body fat %

Lean mass lbs.

Goal

INJURIES AND AILMENTS

Cause

Effect

Plan of action

FLEXIBILITY

Hips

Hamstrings

Quads

Ankles

Biceps

Triceps

Lats

Shoulders

Chest

STRENGTH AND STAMINA

Push-up

High plank

Low plank

Wall sit

TRX mid row burn out

IMBALANCES

Hips

Hamstrings

Quads

Ankles

Biceps

Triceps

Lats

Shoulders

Chest

Overall standing still and walking, etc.

CIRCUMSTANCES

Circumstances

OVERALL PLAN OF ACTION

Overall plan of action

LOCATION

WITFIT in the Horizon Building
26301 Curtiss Wright Pky
Richmond Hts, OH 44143

FORMS

Questionnaire
Waiver

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