Your Fitness Assessment! As part of your membership to My fitness Instructor.co.uk you can complete this form and recieved back a fitness plan to suit your requirements Name Email

Your Information Height (feet & Inches) Feet 4 5 6 7 Inches 0 1 2 3 4 5 6 7 8 9 10 11 Sex Male Female RHR (Resting Heart Rate) DOB Start Weight KG's (Lbs) (convert here) Target Weight KG's (Lbs) (convert here) Please type your size in Inches Chest (optional) Waist (optional) Hips (optional) Upper Arm (optional) Forearm (optional) Thigh (optional) Calf (optional)

(optional) the optional fields help us track you improvement and are beneficial for monitoring fitness development Where do you train? Gym Home Both If you train at home, What Equipment do you use? Likes & Dislike Eg: Do you like water, if not your plan wont have Aqua Aerobics. Targets & Goals What do you really want to acheive? Note and Additional Comments Anything else we should know.