Physical Assessment Details Full Name(required) Age(required) Weight (kg)(required) Height (ft) (required) Gender Goal (required) Loose Weight Build Muscles Athletic Performance Improve Health Current purposeful activity Form of exercise Casual Walk Brisk Walk Running Yoga HIIT Weights Training Aerobics Other body weight exercises Number of days per week None 1 2 3 4 5 6 7 Minutes per day 0 minutes Less than 30 minutes 30 – 45 minutes More than 45 minutes Health Condition High / Low blood pressure Diabetes Cardio Vascular Disease Lung Disease Neuro-muscular disorder Others (Please specify below) Other Health Conditions/Recent surgeries Any known physical injuries Send
