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Employee – %firstname% %lastname%

Division: %division%

%photo%

General Information

Unique ID:

Employee #:

Test Date:

Age:

Gender:

%uniqueid%

%employee%

%testdate%

%age%

%gender%

Physiological Data

Cardio Data

Height (inches):

Weight (lbs):

Weight (kg):

Body Mass Index (BMI):

%height%

%weight%

%formula_4%

%formula_1%

Resting HR:

Systolic Pressure (mm/Hg):

Systolic Pressure (mm/Hg):

Target HR:

%restinghr%

%systolicpress%

%diastolicpress%

%formula_2%

Body Composition (males)

Body Composition (females)

Triceps:

Subscapular:

Pectoral:

Sum of skinfolds:

% Body Fat:

%triceps%

%subscap%

%pectoral%

%formula_4%

%formula_7%

Triceps:

Abdominal:

Sum of skinfolds:

% body fat:

%triceps1%

%abdominal%

%formula_5%

%formula_8%

Aerobic Capacity

Treadmill Test Stopped (y/n):

Treadmill Time (minutes/decimal):

Treadmill METS (mmO2/kg/min):

Treadmill VO2 Max (mmO2/min/kg):

%treadmillteststopped%

%treadmilltimedecimal%

%formula_10%

%formula_6%

Stepmill Test Stopped (y/n):

Stepmill Time (minutes/decimal):

Stepmill METS (mmO2/kg/min):

Stepmill VO2 Max (mmO2/min/kg):

%stepmillteststopped%

%stepmilltimedecimal%

%formula_11%

%formula_9%

Strength

Endurance

Right Grip (kg):

Left Grip (kg):

Jump Test (cm):

Leg Strength (watts):

Arm Curl (lbs):

%rightgrip%

%leftgrip%

%jumpinches%

%formula_12%

%armcurlwatts%

Plank Time (decimal):

Push-Ups (max #):

Curl-Ups (max #):

Flexibility (inches):

%planktimedecimal%

%pushupsmax%

%curlupsmax%

%flexibilityinches%