Studio F.I.T. Fitness Assessment SCORE Sheet
Standards are from: The Cooper Institute for Aerobic Research, American College of Sports Medicine & American Heart Association
Assessor Name:
Please Select
Christine Simmons
Mark Simmons
Caroline Lowie
Amiee Pultorak
Client Name:
First Name
Last Name
E-mail
Today's Date:
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
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Day
Please select a year
2028
2027
2026
2025
2024
2023
2022
2021
Year
GOAL(S):
Reduce Body fat
Increase Lean Muscle
Maintain Lean Muscle
Weight Loss
Statistics
Age:
Gender:
Please Select
Male
Female
Height (Inches)
Weight (Lbs)
Resting Blood Pressure
Resting Heart Rate:
Body Mass Index
Classification: * Based on BMI calculation
Please Select
Underweight
Normal
Overweight
Obese
BODY COMPOSITION (right side) Caliper Test
Abdomen:
Ilium:
Tricep:
Thigh:
SUM:
WOMEN: Percentage of Body Fat (Target healthy Body Fat of no more than 23% )
Target weight
total lean muscle
Total Fat
WOMEN-Pounds of body fat to lose * This number is dynamic and may change as lean muscle increases:
BODY MEASUREMENTS (right side):
Bicep/Arm:
Chest (w/shirt):
Waist:
Hips (w/Pants):
Thigh:
Waist to Hips Ratio:
Risk level:
Please Select
Low Risk
Moderate
High
CARDIOVASCULAR WORK
Maximum Heart Rate(BPM):
Target (working) Heart Rate: 80% of Maximum Heart Rate (MHR):
Exercise Prescription:
This is your Exercise Prescription:
Cardio 30-45 minutes 3 times a week
Cardio 30-45 minutes 2 times a week
Strength Training 3 times a week
Strength Training 2 times a week
High Intensity Interval Training 2 times a week
Stretching and core work 5 times a week
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