Take the Total Impact Fitness Assessment to get started or to evaluate your progress.

Personal Info

The following information is needed to calculate your fitness assessment. You may want to print out this form and fill it out all at once when you have completed the assessment.

For a Printer Friendly form - Click Here

* Full Name

* Email

* Age

* Weight (lbs)

* Gender

Male

Female

* BMI (Body Mass Index).
To calculate your BMI take your weight in pounds and multiply by 703. Then divide that by the square of your height in inches. For an easy online calculator, click here.

Underweight = <18.5

Normal weight = 18.5-24.9

Overweight = 25-29.9

Obesity = BMI of 30 or greater

Fitness Assessment

The Fitness Assessment can be used as a stand alone survey to see where are are, or regularly to chart improvement. If you are a current Total Impact client, you will receive direct feedback regarding each assessment (normally once a month is sufficient).

If you would like to become a Total Impact client, contact Lisa HERE.

* 1. Endurance Step Test:
Using a 12" step, step with both feet on and both feet off for one minute. Keep a regular 4-beat cadence, counting "up, up, down, down" if it helps. Take your pulse immediatly after the one minute is up.

Heart Rate: (Beats per minute):

* 2. Full-body Plank:
Perform a full-body plank (on your toes and fore arms) and hold for as long as you can without lowering the hips.

How Long:

* Heart Rate
Beets per Minute:

* 3. Push-Ups (Military Style):
Execute as many full-body military-style pushups as you can in one minute. Keep heels, hips and shoulders in line. Chest should come within 3" of floor, and arms should extend completely.

How Many:

* 4. Sit-Ups:
Execute as many sit-ups as you can in one minute. Start fully reclined on the floor with knees bent upward. Count a sit-up each time you sit up and touch your elbows to your knees.

How Many:

* 5. Burpees:
Execute as many Burpees as you can in one minute. Here's how you perform a burpee

To perform a Burpee:

Begin in a squat position with hands on the floor in front of you.

Kick your feet back to a pushup position*.

Immediately return your feet to the squat position.

Leap up as high as possible from the squat position.

How Many:

* 6. Squats:
Execute as many Squats as you can in one minute.

How Many:

Way To Go! You're Done!

Congratulations! You have completed the assessment. Come back again and measure your improvement.

If you are a current client, Lisa will review your performance and use this in designing your program for you.

If you would like more information: Contact Lisa

* Indicates Response Required