Your Health and Fitness Profile Name_________________________Date__________ Vital Statistics Age _______ Weight ________ lbs.   Height _________ in. Resting Heart Rate________beats/min. 40 90 Resting Blood Pressure __________ mmHg <130/85 >160/100 mmHg Blood Test Results Glucose __________ mg/dL or <114 >126mg/dL Total Cholesterol __________ mg/dL <200 >240 mg/dL Triglycerides __________ mg/dL <200 >400 mg/dL High Density Lipoproteins (HDL) __________ mg/dL <35 >60 mg/dL Low Density Lipoproteins (LDL) __________ mg/dL <130 >160 mg/dL Total Cholesterol/HDL Ratio __________ <4.0 >6.0 Physical Fitness Body Composition: Skin fold / Bioimpedence / Army Tape Test _______% Body Fat

Physical Fitness Cont. Body Fat Distribution: waist to hip ratio Females <.75 Males <.85 Body Mass Index (BMI) __________ <25 >27 Aerobic Fitness: Step Test / Cycle / Ergometer __________Pulse or _______mg/O2/kg/min Aerobic Fitness: 1 Mile Walk Test   Muscle Strength: Bench Press/Weight Ratio ____________ ACSM Percentile_________ Muscle Strength: Leg Press/Weight Ratio ____________ ACSM Percentile_________ Muscular Endurance: Push-Ups ____________reps ACSM Percentile_________ Muscular Endurance: Sit-Ups ____________reps ACSM Percentile_________ Flexibility: Sit and Reach Test ____________reps ACSM Percentile_________