Firefighter Candidate Fitness Profile and CPAT PREP

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	All firefighter candidates and test takers should fill out the below Candidate Fitness Profile in its entirety. If you have any questions, or need to forward additional information, please or call: () -. If you haven't completed your purchase, please click here. GO TO: >>Firefighter Fitness Profile
CANDIDATE FITNESS Firefighter Test Prep CANDIDATE PROGRAM FIREFIGHTER PROGRAM Candidate Information: NAME: E-MAIL: PHONE: - - SEC. A - YOU AND YOUR GOALS (1) WHERE DO YOU NEED THE MOST IMPROVEMENT? Upper Body Strength, Power, Endurance Leg Strength, Power, Endurance Overall Muscular Endurance Cardiovascular Endurance (wind) Event Specific Skill and Coordination Speed, Quickness and Agility Overall Explosive Power Hand, Wrist, and/or Grip Strength Weight Loss (get rid of extra body fat) Weight Gain (put on some muscle mass) (2) GENDER: male female AGE: yrs (3) HEIGHT: ft in WEIGHT: lbs FRAME SIZE: WAIST: in (4) CURRENT JOB: (5) ENTER YOUR TEST DATE (estimate if not sure) (Month/Year) SEC. B - FITNESS ASSESSMENT (6) HOW OFTEN DO YOU CURRENTLY EXERCISE? Active -I exercise regularly (3 - 6 times weekly) Moderate-I exercise occasionally (1 - 2 times weekly) Sedentary -I don't currently exercise (6a) LIST CURRENT FITNESS & SPORT ACTIVITIES: (7) WHAT'S YOUR PREVIOUS EXERCISE HISTORY? Moderate to heavy amounts of strength training Moderate to heavy amounts of cardio training Moderate to heavy amounts of flexibility training I have little or no experience with any exercise DO YOU CONSIDER YOURSELF? (8) ABILITIES PROFILE Approximate your ability level in all three categories. a) Cardio: How far can you run or jog? b) Strength: How many push ups can you do? c) Flexibility When standing with knees straight... (9) EVENT TROUBLESHOOTING "I need MOST help with..." (check all that apply) Overall endurance and wind finish all events Grip strength for the ceiling breach/pull Pulling and dragging heavy hose Swinging an 8 to 10 lb. maul Handling / carrying heavy equipment Ascending multiple flights of stairs in full gear Raising and extending heavy ladders General grip strength (gloves on) Recent weight gain interfering with performance LIST OTHER:	SEC. C - EVENTS DESCRIPTION (10) CPAT EVENT CHECKLIST Step Mill Hose Advance Hose Haul Search Tunnel Dummy Drag Dummy Carry Ceiling Breach/Pull Ladder Raise/Extend Forcible Entry Equipment Shuttle Wall Climb Grip Test Long Jump Other Event (list in box below) EVENTS DESCRIPTION BOX (optional) (11)TEST INCLUDE A WEIGHT VEST or FULL GEAR? (12) SELECT TRAINING SCHEDULE Days per week? Time each day? (13) YOUR LIST OF AVAILABLE EQUIPMENT* Body Weight Dumbbells Full Set of Free Weights Resistance Bands Bench Step Exercise Ball Treadmill Stationary Bike Stepper Elliptical Gym or Health Club Lat Pulldown Leg Press Smith/Squat Rack Weight Vest Universal Machine List Other: You'll need at least dumbbells to get started. Unlimited access to ONLINE EXERCISE LIBRARY (video) included with every program. (14) CPAT EVENT ACCESS FOR PRACTICE* (15) OTHER INFORMATION OR COMMENTS SEC. D - PURCHASE & FORM SUBMISSION TAKE THESE 4 SIMPLE STEPS If you've already made your purchase, skip to step 2 STEP 1: Select a payment option (more options?) LIMITED OFFER - Buy now and get FREE shipping! I- CPAT PREP PROGRAM: Test-Specific Conditioning* a) CANDIDATE FITNESS, 3-PHASED GOLD PLAN ($249) b) CANDIDATE FITNESS, 2-PHASED SILVER PLAN ($219) c) E-Z PAY GOLD ($83) \| E-Z PAY SILVER ($73) II ACTIVE FIREFIGHTERS: Job-Specific Conditioning* a) FIREFIGHTER PLAN, 3-PHASED GOLD ($249) b) FIREFIGHTER PLAN, 2-PHASED SILVER ($219) c) E-Z PAY GOLD ($83) \| E-Z PAY SILVER ($73) Every program comes with 3 months of follow-up support directly from Captain Mike. At any time during your program, you can contact Mike and get all your questions answered, usually within 24 hours or less. STEP 2:* After payment check entire profile is filled out STEP 3: Enter your ORDER NUMBER (also sent via email) ORDER NUMBER: STEP 4: Accept the following terms and initial INITIAL: I Accept the Above Conditions How did you hear about us? >>back to top
NUTRITIONAL SUPPORT SECTION (16) From the choices below, select the one that best describes your typical eating pattern. I eat 3 balanced meals daily (plus healthy snacks) I pick, snack all day, but try to make healthy choices I pick, snack all day, but pay little attention to calories, nutrition I tend to not eat all day, then eat too much at once I usually eat whatever is the most convenient choice *(17) Do you consume a lot of liquid* calories in the form of soda, fruit juice, or alcoholic beverages? I consume little if any liquid calories At least 3 glasses (8 to 10 oz.) per day 6 glasses (8 to 10 oz.) or more per day (18) Are you in the habit of adding many additional calories to food and drink in the form of sugar, butter, mayonaise, salad dressing, or gravies?** I add little if any extras I use with some foods for taste, but always in moderation I freely add extra calories to food or drink >>back to top	(19) Explain in your own words, why your previous attempts at eating right have been only marginally successful. (20) Are you willing to make a reasonable effort to control your daily eating patterns? Yes I feel thoroughly motivated to get started Yes, but I feel I need help staying on track No, I want to do this with a minimal effort on my part (21) What has been your best maintainable body weight (for at least 6 months) during the past 10 years? LBS (22) Do you anticipate support from friends and family? I plan to do this alone and without too much help My friends and family will probably be somewhat supportive I can expect full cooperation from my loved ones