All Coast Guard military personnel shall complete sections 1-5, (read instructions on back before st 2026

1. Click ‘Get Form’ to open it in the editor.
2. In Section 1, enter your Last Name, First Name, and Middle Initial. This information is essential for identification.
3. For Section 2, clearly state your Fitness & Health Improvement goal. Consider goals like weight management or stress reduction.
4. In Section 3, input your Physical Readiness Test Scores. Use the provided tables to compare your results and assess your fitness level.
5. Outline your Aerobic Activity Plan in Section 3a by detailing activities, duration, intensity, and frequency of workouts.
6. In Section 3b, describe your Strength Training Plan similarly by listing activities and their respective details.
7. Complete Sections 4 and 5 with signatures from both you and your Supervisor. Ensure all information is accurate before submission.

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