CANDIDATE FITNESS
Firefighter Test Prep
CANDIDATE PROGRAM   FIREFIGHTER PROGRAM

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:
Write 'NONE', if you're not active:

(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? Choose One (1-4) 1. Very Unfit 2. Relatively Unfit 3. Moderately Fit 4. Very Fit

(8) ABILITIES PROFILE
Approximate your ability level in all three categories.

RUNNING: How far can you run or jog? 1. I can't really jog or run at all 2. I can jog about a mile or 2 3. I can run 2 miles or more 4. Advanced runner, 5 miles or more 5. I prefer to walk or use machines

PUSH UPS: How many push ups can you do?
1. I can do less than 5 push ups 2. I can do between 5 and 9 push ups 3. I can do between 10 and 19 push ups 4. I can do 20 push ups or more

PULL UPS: How many pull ups or chin ups* can you do? 1. I can't do any pull ups 2. I can do between 1 and 5 pull ups 3. I can do between 6 and 10 pull ups 4. I can do more than 10 pull ups
*pull up or chin up with full arm extension


(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)
List important test event details:

(11)TEST INCLUDE A WEIGHT VEST or FULL GEAR?
No vest 20 pound vest 30 pound vest 40 pound vest 50 pound vest 60 pound vest 75 pound vest full gear, no SCBA full gear, with SCBA


(12) SELECT TRAINING SCHEDULE
Days per week?        Time each day?
3 days each week 4 days each week 5 days each week 6 days each week 20 to 30 minutes per day 30 to 45 minutes per day 45 to 60 minutes per 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
No Access to Events Occassional Access to Events Open Access to Events


(15) OTHER INFORMATION OR COMMENTS
List any important information here:

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 ($189)
      b) CANDIDATE FITNESS, 2-PHASED SILVER PLAN ($159)
      c) E-Z PAY GOLD ($63)  |  E-Z PAY SILVER ($53)

II ACTIVE FIREFIGHTERS: Job-Specific Conditioning*
      a) FIREFIGHTER PLAN, 3-PHASED GOLD ($189)
      b) FIREFIGHTER PLAN, 2-PHASED SILVER ($159)
      c) E-Z PAY GOLD ($63)  |  E-Z PAY SILVER ($53)

*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
TERMS AND CONDITIONS: I certify that all of the information entered into this profile form is accurate to the best of my knowledge. In addition, I attest to having no known medical problem that would restrict my ability to participate in this customized workout program. I am also aware that all physical activity involves an element of risk, and it's important to get a complete physical exam before beginning. Therefore, I waive and release Michael Stefano from any and all responsibility, for injury or personal damage that might occur as a result of engaging in this exercise program. Furthermore, I understand that the 30-day money-back guarantee goes into effect after 4 weeks of faithful participation in ALL program activities (proof of such activity in the form of a completed workout log book must accompany any refund request). My INITIALS in the box below is certification of my acceptance of all said terms and conditions, and I understand that this is legally binding.
INITIAL:   I Accept the Above Conditions