Wellness Fitness Intitiave (WFI) Testing Please fill out the below and click on the submit button. Step 1 of 5 - Personal Information 20% Personal ID Number (PIN) - 12 digitsPlease enter Personal ID Number (PIN). If the person does not have a PIN then leave blank and a unique PIN will be generated for the player.12 Digit Personal ID Number (PIN)Employee Number*Badge NumberDivision* Suppression Radio Room Administration First Name Last Name Gender* Male Female Birth Date* YYYY slash MM slash DD Date of Test* MM slash DD slash YYYY AgePAR-Q signed?* Yes No Height (inches)*Weight (lbs)*Weight (kg)*Resting Heart Rate (bpm)Systolic Pressure (mmHg)Diastolic Pressure (mmHg) Triceps - Males (mm)Subscapula - Males (mm)Chest/Pectoral - Males (mm)Triceps (females only)Abdominal (females only)Superiliac (females only) Treadmill test stopped? Yes No Treadmill Test Time (minutes in decimal)Minutes in decimal formatStepmill test stopped? Yes No Stepmill Test Time (minutes in decimal) Right Grip (kg)Left Grip (kg)Jump Test (inches)Leg (watts)Arm Curl (lbs)Plank time (minutes in decimal)Push Ups (max. #)Pull Ups (max. #)Curl Ups (max. #)Right Side Plank (minutes in decimal)Left Side Plank (minutes in decimal)Sit Reach (inches)Left Straight Leg Raise (angle)Right Straight Leg Raise (angle)Left Shoulder Flexion (distance)Right Shoulder Flexion (distance)Left Shoulder Extension (distance)Right Shoulder Extension (distance)PhotoAccepted file types: jpg, gif, png, pdf, Max. file size: 1 MB.Notes Δ
