Physical Assessment Form

Physical Assestment Form

Select the option that suits you best

Opt for our hassle-free online form, for a quick and convenient experience from home. If you prefer a in-person assessment you can visit your nearest Inbody testing location. Your well-being, your choice.

Physical Assessment Form

This form collects vital details about your health, lifestyle, and medical history. Your truthful responses help our team customize advice and strategies for your specific needs.

Please fill out this form with your personal and health information for an accurate assessment or Go to an Inbody nearby location

Please fill out this form with your personal and health information for an accurate assessment.

Personal Information:
Body Measurements:
Training Objective:
Eating Habits:

Personal Information:

Full Name

Email:

Repeat to confirm

Date of Birth

Body Measurements:

If you prefer a in-person assessment with the measurements you can visit your nearest Inbody testing location following this link: https://inbodyusa.com/support/nearest-testing-location/

Neck: ________ cm

Waist (widest part): ________ cm

Waist (narrowest part): ________ cm

Hips (widest part): ________ cm

Body Fat Percentage (Optional)

Please provide your Resting Energy Expenditure (REE) values below: (Optional)

Please provide your Basal Metabolic Rate (BMR) values below: (Optional)

Training Objective:

How many times per week can you train?

What is our goal with the training?

Have you been injured before? Yes / No?

Yes No

If yes, please provide details:

Current Eating Habits:

Describe your current eating habits in detail. Include typical meals in a day, schedules, preferences, etc.

Do you have food intolerances?

Yes No

If yes, are there foods you cannot consume? Please specify (e.g., dairy, gluten, etc.)

Physical Assessment Documents:

Kindly upload any relevant files that could assist us in conducting your physical assessment. This may include medical reports, test results, or other relevant document

Choose a file

Max. size: 512.0 MB