Fitness screening template

Personal Information

  • Provide first, middle, and last name.
  • Ensure correct spelling.
  • Use legal name as per identification.
  • Enter in MM/DD/YYYY format.
  • Double-check for accuracy.
  • Ensure age eligibility for fitness program.
  • Select from provided options.
  • If non-binary, specify if allowed.
  • Ensure it's inclusive and respectful.
  • Provide phone number and email address.
  • Include preferred contact method.
  • Verify all information for accuracy.
  • Provide name and relation to the contact.
  • Include phone number and address.
  • Ensure availability of the contact person.

Medical History

Physical Activity Readiness

Lifestyle Assessment

Fitness Goals

Consent and Acknowledgment

Additional Notes