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Fitness Chart For Ment
Fitness Chart For Ment
Name of Client
Name of the Instructor/Trainer
Baseline Information
Age
Gender
Height (Feet)
Height (Inches)
Weight (Pounds)
Resting Heart Rate (BPM)
Body Mass Index (BMI)
Body Fat Percentage
Chest (Inches)
Waist (inches)
Hips (Inches)
N/A
Tabata 1
27
Male
6
5
Exercises
Planks
Kettle Swings
Lunges
Tabata 2
Exercises
Goblet Squats
Sprints
Dead Lift Jumps
Tabata 3
Exercises
Leg Lifts
Kettle Rows
Offset Push-ups
Tabata 4
Exercises
Supermans
Halos
Dive Bombers
Notes
What is Tabata?: Tabata is a form of High Intensity Interval Training (HIIT) designed by Professor Izumi
is an exercise strategy alternating periods of short intense anaerobic exercise with less-intense recove
athletic capacity and condition, improved glucose metabolism, and improved fat burning. Each Tabata i
your daily routine or used to suppliment your current workouts. A regular workout of 4 Tabatas will tak
As always it is recommended to speak with your doctor before starting any kind of new exercise progra
How are they done? Each Tabata consists of 3 exercises which are done at your maximum capability for
When you complete a Tabata there is an extra 10 second rest in preparation for the next Tabata.
There are several apps availabe for free on both IPhone and Android which can be found by searching f
available at www.tabatatimer.com.
gram
N/A
Program start date
Reps
Wts (Lb)
Weeks
Frequency
20s
20s
20s
25
-
All
All
All
4 days
4 days
4 days
Reps
Wts
Weeks
Frequency
20s
20s
20s
25
-
All
All
All
4 days
4 days
4 days
Reps
Wts
Weeks
Frequency
20s
20s
20s
25
-
All
All
All
4 days
4 days
4 days
Reps
Wts
Weeks
Frequency
20s
20s
20s
25
-
All
All
All
4 days
4 days
4 days
Exercise Tracking
Week #1
Exercises
Tabata 1
Jan 01/15
Notes
Reps
to
Jan 01/15
Day-1
Day-2
Day-3
Day-4
Jan 01/15
Jan 01/15
Jan 01/15
Jan 01/15
Dif
Wts
Dif
Reps
Dif
Wts
Dif
Reps
Dif
Wts
Dif
Reps
Tabata 2
Tabata 3
Tabata 4
Other Exercise
Reps
Week #2
Exercises
Tabata 1
Tabata 2
Tabata 3
Tabata 4
Repetitions as suggested
Jan 01/15
Notes
Reps
to
Legend
Weight as suggested
Wts
Diff
Difference betw
Jan 01/15
Day-1
Day-2
Day-3
Day-4
Jan 01/15
Jan 01/15
Jan 01/15
Jan 01/15
Dif
Wts
Dif
Reps
Dif
Wts
Dif
Reps
Dif
Wts
Dif
Reps
Other Exercise
Reps
Week #3
Exercises
Tabata 1
Repetitions as suggested
Jan 01/15
Notes
Reps
to
Legend
Weight as suggested
Wts
Diff
Difference betw
Jan 01/15
Day-1
Day-2
Day-3
Day-4
Jan 01/15
Jan 01/15
Jan 01/15
Jan 01/15
Dif
Wts
Dif
Reps
Dif
Wts
Dif
Reps
Dif
Wts
Dif
Reps
Tabata 2
Tabata 3
Tabata 4
Other Exercise
Reps
Week #4
Exercises
Tabata 1
Tabata 2
Tabata 3
Tabata 4
Repetitions as suggested
Jan 01/15
Notes
Reps
to
Legend
Weight as suggested
Wts
Diff
Difference betw
Jan 01/15
Day-1
Day-2
Day-3
Day-4
Jan 01/15
Jan 01/15
Jan 01/15
Jan 01/15
Dif
Wts
Dif
Reps
Dif
Wts
Dif
Reps
Dif
Wts
Dif
Reps
Other Exercise
Reps
Repetitions as suggested
Wts
Legend
Weight as suggested
Diff
Difference betw
e Tracking
Notes
Monthly Tracking
Day-4
Day-5
Jan 01/15
Jan 01/15
Dif
Wts
Dif
Reps
Dif
Wts
Month 1
Jan 24/15
Dif
Day-4
Day-5
Jan 01/15
Jan 01/15
Dif
Wts
Dif
Reps
Dif
Wts
Exercises
Tabata 1
Planks
Kettle Swings
Lunges
Tabata 2
Goblet Squats
High Knees
Dead Lift Jumps
Tabata 3
Leg Lifts
Kettle Rows
Offset Push-ups
Tabata 4
Supermans
Halos
Dive Bombers
Other Exercise
Reps
Dif
Reps
Dif
Month 2
Feb 21/15
Wts
Dif
Feb 22/15
Reps
Repetitions as suggested
Dif
Wts
Day-4
Day-5
Jan 01/15
Jan 01/15
Dif
Wts
Dif
Reps
Dif
Wts
Dif
Day-4
Day-5
Jan 01/15
Jan 01/15
Dif
Wts
Dif
Reps
Dif
Wts
Dif
Month 2
Month 3
Dif
Reps
Dif
Legend
Weight as suggested
Month 4
Apr 18/15
Wts
Dif
Diff
Apr 19/15
Reps
Dif
Month 5
Month 6
June 13/15
June 14/15
July 11/15
Wts
Reps
Wts
Dif
Dif
Dif
July 12/15
Reps
Dif
Aug 08/15
Wts
Month 6
Month 7
Aug 08/15
Dif
Aug 09/15
Reps
Dif
Month 8
Month 9
Sept 05/15
Sept 06/15
Oct 03/15
Wts
Reps
Wts
Dif
Dif
Dif
Oct 04/15
Reps
Dif
Month 10
Oct 31/15
Wts
Dif
Nov 01/15
Reps
Dif
Nov 28/15
Wts
Dif
Month 11
Nov 29/15
Reps
Dif
Month 12
Dec 20/15
Wts
Dif
Dec 21/15
Reps
Dif
Jan 23/15
Wts
Dif
Dietary Tracking
Week #1
Jan 01/15
Legend
to
Chol:
Cals:
Jan 01/15
Cholesterol
Calories
Prot:
Protein
Day-1
0
Chol
Sodium
Fiber
Meals
Sugar
Carbs
Fat
Prot
Cals
Breakfast
Lunch
Dinner
Snacks
Water/Liquid Intake
Totals
Week #2
Jan 01/15
Legend
to
Chol:
Cals:
Jan 01/15
Cholesterol
Calories
Prot:
Protein
Day-1
0
Chol
Meals
Sodium
Fiber
Sugar
Carbs
Breakfast
Fat
Prot
Cals
Lunch
Dinner
Snacks
Water/Liquid Intake
Totals
Week #3
Jan 01/15
Legend
to
Chol:
Cals:
Jan 01/15
Cholesterol
Calories
Prot:
Protein
Day-1
0
Chol
Meals
Sodium
Fiber
Sugar
Carbs
Breakfast
Lunch
Dinner
Fat
Prot
Cals
Snacks
Water/Liquid Intake
Totals
Week #4
Jan 01/15
Legend
to
Chol:
Cals:
Jan 01/15
Cholesterol
Calories
Prot:
Protein
Day-1
0
Chol
Sodium
Fiber
Meals
Sugar
Carbs
Fat
Prot
Cals
Breakfast
Lunch
Dinner
Snacks
Water/Liquid Intake
Totals
Dietary Tracking
Weekly Totals
Protein
Chol
0
Sodium
0
Fiber
0
Sugar
0
Carbs
0
Fat
0
Prot
0
Cals
0
Fat
Prot
Cals
Day-2
0
Chol
Sodium
Fiber
Meals
Sugar
Carbs
Breakfast
Lunch
Dinner
Snacks
Water/Liquid Intake
Totals
Weekly Totals
Chol
0
Sodium
0
Fiber
0
Sugar
0
Carbs
0
Fat
0
Prot
0
Cals
0
Fat
Prot
Cals
Protein
Day-2
0
Chol
Meals
Sodium
Fiber
Sugar
Carbs
Breakfast
Lunch
Dinner
Snacks
Water/Liquid Intake
Totals
Weekly Totals
Chol
0
Sodium
0
Fiber
0
Sugar
0
Carbs
0
Fat
0
Prot
0
Cals
0
Fat
Prot
Cals
Protein
Day-2
0
Chol
Meals
Sodium
Fiber
Sugar
Carbs
Breakfast
Lunch
Dinner
Snacks
Water/Liquid Intake
Totals
Weekly Totals
Chol
0
Sodium
0
Fiber
0
Sugar
0
Carbs
0
Fat
0
Prot
0
Cals
0
Fat
Prot
Cals
Protein
Day-2
0
Chol
Sodium
Fiber
Meals
Sugar
Carbs
Breakfast
Lunch
Dinner
Snacks
Water/Liquid Intake
Totals
Day-3
0
Chol
Sodium
Fiber
Meals
Sugar
Carbs
Fat
Prot
Cals
Carbs
Fat
Prot
Cals
Breakfast
Lunch
Dinner
Snacks
Water/Liquid Intake
Totals
Day-3
0
Chol
Meals
Sodium
Fiber
Sugar
Breakfast
Lunch
Dinner
Snacks
Water/Liquid Intake
Totals
Carbs
Fat
Prot
Cals
Day-3
0
Chol
Meals
Sodium
Fiber
Sugar
Breakfast
Lunch
Dinner
Snacks
Water/Liquid Intake
Totals
Carbs
Fat
Prot
Cals
Day-3
0
Chol
Sodium
Fiber
Meals
Sugar
Breakfast
Lunch
Dinner
Snacks
Water/Liquid Intake
Totals
Day-4
0
Chol
Sodium
Fiber
Meals
Sugar
Carbs
Fat
Prot
Cals
Carbs
Fat
Prot
Cals
Breakfast
Lunch
Dinner
Snacks
Water/Liquid Intake
Totals
Day-4
0
Chol
Meals
Sodium
Fiber
Sugar
Breakfast
Lunch
Dinner
Snacks
Water/Liquid Intake
Totals
Carbs
Fat
Prot
Cals
Day-4
0
Chol
Meals
Sodium
Fiber
Sugar
Breakfast
Lunch
Dinner
Snacks
Water/Liquid Intake
Totals
Carbs
Fat
Prot
Cals
Day-4
0
Chol
Sodium
Fiber
Meals
Sugar
Breakfast
Lunch
Dinner
Snacks
Water/Liquid Intake
Totals
Day-5
0
Chol
Sodium
Fiber
Meals
Sugar
Carbs
Fat
Prot
Cals
Fat
Prot
Cals
Breakfast
Lunch
Dinner
Snacks
Water/Liquid Intake
Totals
Day-5
0
Chol
Meals
Sodium
Fiber
Sugar
Carbs
Breakfast
Lunch
Dinner
Snacks
Water/Liquid Intake
Totals
Fat
Prot
Cals
Day-5
0
Chol
Meals
Sodium
Fiber
Sugar
Carbs
Breakfast
Lunch
Dinner
Snacks
Water/Liquid Intake
Totals
Fat
Prot
Cals
Day-5
0
Chol
Sodium
Fiber
Meals
Sugar
Carbs
Breakfast
Lunch
Dinner
Snacks
Water/Liquid Intake
Totals
Day-6
0
Chol
Sodium
Fiber
Meals
Sugar
Carbs
Fat
Prot
Cals
Carbs
Fat
Prot
Cals
Breakfast
Lunch
Dinner
Snacks
Water/Liquid Intake
Totals
Day-6
0
Chol
Meals
Sodium
Fiber
Sugar
Breakfast
Lunch
Dinner
Snacks
Water/Liquid Intake
Totals
Carbs
Fat
Prot
Cals
Day-6
0
Chol
Meals
Sodium
Fiber
Sugar
Breakfast
Lunch
Dinner
Snacks
Water/Liquid Intake
Totals
Carbs
Fat
Prot
Cals
Day-6
0
Chol
Sodium
Fiber
Meals
Sugar
Breakfast
Lunch
Dinner
Snacks
Water/Liquid Intake
Totals
Day-7
0
Chol
Sodium
Fiber
Meals
Sugar
Carbs
Fat
Prot
Cals
Carbs
Fat
Prot
Cals
Breakfast
Lunch
Dinner
Snacks
Water/Liquid Intake
Totals
Day-7
0
Chol
Meals
Sodium
Fiber
Sugar
Breakfast
Lunch
Dinner
Snacks
Water/Liquid Intake
Totals
Carbs
Fat
Prot
Cals
Day-7
0
Chol
Meals
Sodium
Fiber
Sugar
Breakfast
Lunch
Dinner
Snacks
Water/Liquid Intake
Totals
Carbs
Fat
Prot
Cals
Day-7
0
Chol
Sodium
Fiber
Meals
Sugar
Breakfast
Lunch
Dinner
Snacks
Water/Liquid Intake
Totals
Weight
(pounds)
Date
1/1/2007
Chest
(inches)
250.0
Waist
(inches)
45.0
Hips (inches)
40.0
40.0
29.64
Measurements
46.0
45.0
44.0
43.0
42.0
Inches
41.0
40.0
39.0
38.0
37.0
1/1/2007
Weight - BMI
300.0
35.00
30.00
250.0
25.00
200.0
20.00
150.0
15.00
100.0
10.00
50.0
0.0
5.00
1/1/2007
0.00
25.0
250.0
20.0
200.0
15.0
Pounds
150.0
100.0
5.0
50.0
0.0
0.0
1/1/2007
Weight (pounds)
Below we have outlined a selection of exercises that we use in the Tabata system for reference and infor
Planks
Get into pushup position on the floor. Now bend your elbows 90 degrees and rest your weight on your for
directly beneath your shoulders, and your body should form a straight line from your head to your feet.
Kettlebell Swings
Lunges (Forward)
Stard standing in a neutral position hands on your hips. Step forward with one foot so that your front leg
your back straight and your rear lower leg almost parallel to the floor. If you have room then step forward
your starting position before stepping forward again. If not simply step back to your starting position. C
weights as your fitness needs dictate.
Goblet Squats
Start standing with your feet approximately shoulder width apart as you would for a normal squat. Then cr
to your chest. Perform squats as normal.
Leg Lifts
Lay flat on the floor with your legs together. Lift your legs up as high as you can, but no higher than 90
down.
Kettle Rows
Lean forward with one elbow on your knee, back straight. Grip kettle bell and pull back towards your cor
body. Try to only lift the bell using your arm strength. Alternativly you may kneel with one leg on a benc
Supermans
Lie face down on your stomach with arms and legs extended. Keep your neck in a neutral position. Keepin
(but not locked) and torso stationary, simulataneously lift your arms and legs up to perform a "U" shape w
5 seconds and lower back down to complete one.
Halos
Hold the kettle bell by the horns with bottom up. Lift your left hand to the right side of your head then to
the kettle bell is bottom down. Let the right hand follow 'naturally'. Continue the move around the head to
position. Remember to switch directions between sets.
Dive-bombers
Start in an inverted "V", hands nad feet on the floor, hips raised. Without moving hands glide chest forw
body is nearly parallel to floor. Push palms into floor to straighten arms and lift chest, directing gaze up b
"V" position. Try to keep back straight and elbows close to body as you lower.
o higher than 90