Edit, Download, and Sign the Vitality Fitness Assessment Form Instructions
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How do I fill this out?
Filling out this form is straightforward. Ensure that all required sections are completed accurately before submission. Follow the detailed instructions provided for each section.
How to fill out the Vitality Fitness Assessment Form Instructions?
1
Complete Section A with your personal information.
2
Health Club/Facility fills out Sections B and C.
3
Provide accurate results from the fitness assessment.
4
Ensure consent for the release of your information.
5
Submit the completed form and any additional documents.
Who needs the Vitality Fitness Assessment Form Instructions?
1
Health club members who want to monitor their fitness levels.
2
Fitness professionals preparing assessments for their clients.
3
Employers offering wellness programs and assessments.
4
Individuals participating in Vitality programs for rewards.
5
Any fitness enthusiasts seeking certified assessment records.
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What are the instructions for submitting this form?
To submit this form, you may fax it to The Vitality Group at 877-224-7110. Alternatively, email the completed form to wellness@powerofvitality.com. For physical submission, send to The Vitality Group, 200 West Monroe, Suite 2100, Chicago, IL 60606.
What are the important dates for this form in 2024 and 2025?
Keep in mind the deadlines for submitting assessment documentation to Vitality. Ensure all forms are submitted within 90 days of your fitness event. For the years 2024 and 2025, be especially mindful of any upcoming health fair events.
What is the purpose of this form?
The purpose of this form is to accurately assess an individual's fitness level through a structured evaluation. It allows members to collect vital health metrics and submit them for rewards and recognition within the Vitality program. By completing this form, individuals can take proactive steps towards their fitness goals and well-being.
Tell me about this form and its components and fields line-by-line.
- 1. First Name: The member's first name.
- 2. Last Name: The member's last name.
- 3. Vitality ID: A unique identifier for the member in the Vitality system.
- 4. Date of Birth: The member's date of birth.
- 5. Height: Member's height in inches.
- 6. Weight: Member's weight in pounds.
- 7. Body Mass Index: Calculated body mass index of the member.
- 8. Blood Pressure: Systolic and diastolic pressure readings.
- 9. Testing Protocol: The testing protocol used for assessment.
- 10. Fitness Professional Signature: Signature of the health professional conducting the assessment.
- 11. Date of Test: Date the fitness assessment was performed.
What happens if I fail to submit this form?
Failing to submit this form can result in not receiving Vitality Bucks rewards. It may also hinder tracking your fitness progress effectively. Ensure timely submission to avoid missing out on benefits.
- Loss of Reward Opportunities: You may miss out on potential Vitality Bucks that reward healthy activities.
- Inaccurate Health Tracking: Without submission, your fitness progress cannot be tracked by Vitality.
- Increased Difficulty in Assessment Verification: Failure to submit can lead to complications when trying to verify assessments.
How do I know when to use this form?
- 1. For Health Club Assessments: Members should use this form to document fitness assessments.
- 2. For Wellness Programs: Employers can utilize this form for their wellness initiative.
- 3. For Fitness Competitions: Participants may need this document to provide valid fitness results.
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