Gym Member Initial Fitness Assessment Form
Personal Information
Full Name
Date of Birth
Sex
Male
Female
Other
Phone
Email
Health & Medical History
Current or past medical conditions
Medications
Injuries/Surgeries
Allergies
Family physician name & contact
Lifestyle & Fitness Habits
Current physical activity level
Sedentary
Light
Moderate
Vigorous
Typical forms of exercise
Exercise frequency per week
Fitness goals
Challenges/Barriers to exercise
Measurements
Height
Weight
BMI
Waist Circumference
Hip Circumference
Body Fat %
Fitness Assessment
Cardiovascular Test Result
Strength Test Result
Flexibility Test Result
Other Assessments / Notes