Baseline Assessment

This assessment establishes your starting physical, metabolic and functional health markers. These metrics feed directly into your personalised Evaspan protocol and dashboard. Please complete each section as accurately as you can.

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Client

Email Name

Anthropometrics

Core measurements to understand physiology and cardiovascular/metabolic risk.

Height (cm) Weight (kg) Body Fat % Waist Circumference (cm) Hip Circumference (cm) Resting Heart Rate (bpm) Blood Pressure - Systolic Blood Pressure - Diastolic

Functional Longevity Tests

Strength, balance, mobility and resilience benchmarks.

Grip Strength - Left (kg) Grip Strength - Right (kg) Sit-to-Rise Score (reps in 30s) Single Leg Balance - Left (seconds) Single Leg Balance - Right (seconds)

Strength Benchmarks

Lifting capacity to tailor programming and progression.

Dead Hang - Time (s) Deadlift - 1RM (kg) Squat - 1RM (kg) Bench Press - 1RM (kg) Pull Up Maximum (Strict Reps) Farmers Carry - Distance (m) Farmers Carry - Load (kg)

Mobility & Movement Quality

Identify imbalances and restrictions to tailor movement selection.

Overhead Squat Observations

Good Form Forward torso lean Knees collapsing inward Heels lifting Lumbar extension / "arching" Shoulder / thoracic restriction Other

Hamstring Flexibility (Straight Leg Raise) Thoracic Rotation

Biomarkers

Core blood markers to personalise cardiovascular, metabolic, and hormonal strategies.

ApoB (g/L) HbA1c (mmol/mol) hs-CRP (mg/L) Ferritin (µg/L) Free Testosterone / FAI (nmol/L)

Recovery & Physiology

Readiness, HRV and sleep to gauge adaptive capacity.

HRV Baseline (wearable) Average Sleep Hours (wearable) Deep Sleep % REM Sleep % Subjective Readiness to Train

Optional Photos

Front (URL) Side (URL) Back (URL)

Comments

Additional Notes Anything else?

Idle