First Name:                        *

Last Name:                         *

Email:                                *

Current Country:

Change to:   No Change United States United Kingdom Australia Canada Other

Current State/Prov/Co:

Change to:   No Change Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Other

Upper Body Strength:

Total number of push ups?

Core Strength:

Total minutes and/or seconds set position.

Total minutes and/or seconds on right side.

Balance: Left

Total minutes and/or seconds on left side?

Shoulder Flexibility

Large muscles:

Measure the number of inches from thumbs.

Shoulder Flexibility

rotator cuff:

Total inches from right hand fingers to left hand fingers

Torso Rotation: Right

Positive inches or negative inches past center line.

Torso Rotation: Left

Positive inches or negative inches past center line

Walk Test: (optional)

                        Time

     Heart Rate For 60 

                    seconds:

Walk one mile at a pace that is more than just an easy stride.

Record the time it took you to walk that mile and take your

pulse for 60 seconds immediately after finishing walking.