"Hsc Fitness Assessment Data Record Sheet Template - Temple University"

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HSC Fitness Assessment Data Record Sheet
Name:
Date:
Age:
Body Weight:
Height:
Circumference Measurements
Chest:
Waist:
Hips:
Upper Arm
Right:
Left:
Forearm
Right:
Left:
Upper Leg
Right:
Left:
Calf
Right:
Left:
Body Mass Index
Current BMI
Goal BMI
Cardiorespiratory Endurance
Cardio Test (1 minute jump
Above average Average Needs Improvement Below basic/average
rope/jumping jacks)
Muscular Endurance
Push up Test
Reps:
Classification:
Curl Up Test
Reps:
Classification:
Flexibility and Balance
Sit and Reach
Inches:
Classification:
Apley's Scratch Test
Left Reach Under: Normal
Tight
Left Reach Over: Normal
Tight
Right Reach Under: Normal
Tight
Right Reach Over: Normal
Tight
Shoulder Flexion
Left Shoulder:
Normal
Tight
Right Shoulder:
Normal
Tight
Shoulder Extension
Left Shoulder:
Normal
Tight
Right Shoulder:
Normal
Tight
Right:
Left:
Balance Test
Overhead Squat Assessment
Anterior View
Lateral View
Posterior View
Additional Notes
HSC Fitness Assessment Data Record Sheet
Name:
Date:
Age:
Body Weight:
Height:
Circumference Measurements
Chest:
Waist:
Hips:
Upper Arm
Right:
Left:
Forearm
Right:
Left:
Upper Leg
Right:
Left:
Calf
Right:
Left:
Body Mass Index
Current BMI
Goal BMI
Cardiorespiratory Endurance
Cardio Test (1 minute jump
Above average Average Needs Improvement Below basic/average
rope/jumping jacks)
Muscular Endurance
Push up Test
Reps:
Classification:
Curl Up Test
Reps:
Classification:
Flexibility and Balance
Sit and Reach
Inches:
Classification:
Apley's Scratch Test
Left Reach Under: Normal
Tight
Left Reach Over: Normal
Tight
Right Reach Under: Normal
Tight
Right Reach Over: Normal
Tight
Shoulder Flexion
Left Shoulder:
Normal
Tight
Right Shoulder:
Normal
Tight
Shoulder Extension
Left Shoulder:
Normal
Tight
Right Shoulder:
Normal
Tight
Right:
Left:
Balance Test
Overhead Squat Assessment
Anterior View
Lateral View
Posterior View
Additional Notes