NAME: SECTION: NAME: SECTION:

PHYSICAL FITNESS TEST SCORE CARD PHYSICAL FITNESS TEST SCORE CARD
PART I: HEALTH RELATED FITNESS PART I: HEALTH RELATED FITNESS
A. BODY COMPOSITION: 1. Body Mass Index A. BODY COMPOSITION: 1. Body Mass Index
Heigth (m) weigth (kg) BMI Classification Heigth (m) weigth (kg) BMI Classification

B. CARDIOVASCULAR ENDURANCE: 3-MIN STEP TEST B. CARDIOVASCULAR ENDURANCE: 3-MIN STEP TEST
Heart Rate per Minute Heart Rate per Minute
Before the activity After the Activity Before the activity After the Activity

C. STRENGTH C. STRENGTH
1. No. of push ups: 2. Basic Plank Time:(sec) 1. No. of push ups: 2. Basic Plank Time: (sec)

D. FLEXIBILITY D. FLEXIBILITY
1.Zipper Test Overlap/Gap (cm) 1.Zipper Test Overlap/Gap (cm)
Rigth: Left: Rigth: Left:

2. Sit and Reach (cm) Best Score: 2. Sit and Reach (cm) Best Score:
PART II:SKILL RELATED FITNESS PART II:SKILL RELATED FITNESS
A. COORDINATION A. COORDINATION
1. Juggling score: 1. Juggling score:

B. AGILITY TEST: Hexagon Agility Test B. AGILITY TEST: Hexagon Agility Test
Clockwise Time: Counter Clockwise Time Average: Clockwise Time: Counter Clockwise Time Average:

C. SPEED: 40m Sprint Time - C. SPEED: 40m Sprint Time -

D. POWER: Standing Long Jump Best Score (cm): D. POWER: Standing Long Jump Best Score (cm):

E. BALANCE : Stork Balance test (sec.) E. BALANCE : Stork Balance test (sec.)
Rigth Foot: Left Foot: Rigth Foot: Left Foot:

F. REACTION TIME: Stick Drop Test (Inches) F. REACTION TIME: Stick Drop Test (Inches)
1st 2nd 3rd Middle Score 1st 2nd 3rd Middle Score

Attitude PE Attire TOTAL A+PE ATTIRE Attitude PE Attire TOTAL A+PE ATTIRE
D1 D6 D1 D6 /50 D1 D6 D1 D6 /50
D2 D7 D2 D7 Final score: D2 D7 D2 D7 Final score:
D3 D8 D3 D8 D3 D8 D3 D8
D4 T- D4 T- D4 T- D4 T-
D5 R- D5 R- D5 R- D5 R

Note: Attitude 30% (I,II,III,IV,V,VI,VII, VIII) Note: Attitude 30% (I,II,III,IV,V,VI,VII, VIII)
Performance Level: Performance Level:
A. * B. ** A. * B. **
4:No Rest 4: One trial only 4:No Rest 4: One trial only
3:Rest for 2 times 3: 2 trials 3:Rest for 2 times 3: 2 trials
2:rest for 2-4 times 2: 3 trials 2:rest for 2-4 times 2: 3 trials
1:rest for 5 times up 1: more than 3 trials 1:rest for 5 times up 1: more than 3 trials
C. *** A- Ave (30) C. *** A- Ave (30)
4: Readiness;willingness to perform, discipline 4=30 4: Readiness;willingness to perform, discipline 4=30
3: Perform without hesitation 3=25 3: Perform without hesitation 3=25
2:compliance with hesitation 2= 20 2:compliance with hesitation 2= 20
1:no participation 1=15 1:no participation 1=15

Proper Attire: 20% (I,II,III,IV,V,VI,VII, VIII) Ave. (20) Proper Attire: 20% (I,II,III,IV,V,VI,VII, VIII) Ave. (20)
4:complete(jogging pants/shorts, t-shirt, runnning shoes) 4=20 4:complete(jogging pants/shorts, t-shirt, runnning shoes) 4=20
3: semi - complete (school uniforms,tshirt, running shoes) 3=15 3: semi - complete (school uniforms,tshirt, running shoes) 3=15
2: no sports attire 2=10 2: no sports attire 2=10