REMARKS
NAME (Last, First, Middle Initial)
RANK
HEIGHT (to nearest 0.50 inch) WEIGHT (to nearest pound)
AGE
PREPARED BY (Signature)
RANK DATE
(YYYYMMDD)
RANK
DATE
(YYYYMMDD)
For use of this form, see AR 600-9; the proponent agency is DCS, G-1.
Enter circumference value (step 4 - step 3).
BODY FAT CONTENT WORKSHEET (Male)
Measure abdomen at the level of the navel
(belly button.) Round down to the nearest 0.50
inch. Repeat three times, then average to the
nearest 0.50 inch.
CHECK ALL THAT APPLY
Individual is in compliance with Army Standards.
Is not in compliance with the standards.
Recommended monthly weight loss is 3-8 lbs or 1% body fat.
STEP
NOTE:
½" =.50
AVERAGE
(to nearest 0.50 in.)
THIRDSECONDFIRST
Enter the average abdominal circumference.
Enter the average neck circumference.
Enter height in inches to the nearest 0.50 inch.
.
Find the Soldier's circumference value (step 5) and height (step 6) in figure B-1 (Percent Fat Estimation for Men).
Enter the percent body fat value that intercepts with the circumference value and height. This is Soldier's Percent
Body Fat.
3.
4.
6.
5.
7.
Measure neck just below level of larynx
(Adam's apple.) Round up to the nearest 0.50
inch. Repeat three times, then average to the
nearest 0.50 inch.
2.
1.
DA FORM 5500, MAY 2013
APD LC v1.00ES
APPROVED BY SUPERVISOR
(Printed Name and Signature)
M TABTABTABTABTAB
PREVIOUS EDITIONS ARE OBSOLETE.
Soldiers Actual Weight
Screening Table Weight
Over/Under
Soldiers Actual Body Fat%
Authorized Body Fat%
Over/Under
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