Military Fitness Readiness Questionnaire
Please complete this form to help assess your physical readiness for military activities.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Age
*
Gender
*
Male
Female
Other
Do you currently have any injuries or medical conditions that limit your physical activity?
*
No
Yes
How would you rate your current fitness level in the following areas?
*
Rows
Poor
Fair
Good
Excellent
Cardiovascular Endurance
1
2
3
4
Muscular Strength
5
6
7
8
Muscular Endurance
9
10
11
12
Flexibility
13
14
15
16
Agility
17
18
19
20
How often do you engage in physical training or exercise?
*
Daily
3-5 times per week
1-2 times per week
Rarely
Can you complete the following tasks without significant difficulty? (Select all that apply)
Run 1 mile (1.6 km) continuously
Perform 20 push-ups
Perform 30 sit-ups
Carry a 20 kg (44 lbs) load for 500 meters
Other
Please briefly describe your current fitness routine or any relevant training.
Submit
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