First of the term Date: ____________________ Weight ___________________ Height ___________________ Age _____________________ Resting pulse ______________ Your target zone: ___________ Body Measurements: Calf (R)_________(L)________ Thigh (R)________(L)________ Upper Arm(R)______(L)______ Forearms(R)_______(L)______ Waist __________________ Chest (optional)____________

Middle of the term Date: ____________________ Weight ___________________ Height ___________________ Age _____________________ Resting pulse ______________ Your target zone: ___________ Body Measurements: Calf (R)_________(L)________ Thigh (R)________(L)________ Upper Arm(R)______(L)______ Forearms(R)_______(L)______ Waist __________________ Chest (optional)____________

End of the term Date: ____________________ Weight ___________________ Height ___________________ Age _____________________ Resting pulse ______________ Your target zone: ___________ Body Measurements: Calf (R)_________(L)________ Thigh (R)________(L)________ Upper Arm(R)______(L)______ Forearms(R)_______(L)______ Waist __________________ Chest (optional)____________

Health Concerns :

Fitness Component	Assessment	Test 1 Date:	Test 2 Date:	Test 3 Date:	Goal
Cardiovascular Endurance	12 min. Run or Pacer
Muscular Strength	Push Ups
Muscular Endurance	Curl Ups
Flexibility	Sit and Reach
Body Composition	BMI or Futrex
Agility Coordination C.R. Endurance	Two Minute Jump Rope

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