Republic of the Philippines

Department of Education
Region IV-A CALABARZON
Division of Laguna
Sta. Cruz, Laguna

INDIVIDUAL PHYSICAL FITNESS TEST

Region : IV-A CALABARZON District : LOS BANOS

Division : LAGUNA School : PACIANO RIZAL ES

Name : Age :
Grade & Section : Gender :

Part 1: Health-Related Fitness Test

A. BODY COMPOSITION: Body Mass Index (BMI)
Height ( meters ) Height ("m" ^2
) Weight ( Kilograms ) BMI Classification

B. CARDIO VASCULAR ENDURANCE: 3-minute step test

Heart Rate per minute
Before the Activity After the Activity

C. STREGNTH :
1. Push up 2. Basic plank
Number of Push up Time ( 00:00 )

D. FLEXIBILITY :
1. Zipper Test
Right Left
Gap : Overlap : Gap : Overlap :

2. Sit and Reach

Score ( centimeters )
First Trial Second Trial Best Score

Part 2: Skill-Related Fitness Test

A. COORDINATION : Juggling
Firs Trial Second Trial

B. AGILITY : Hexagon Agility Test

Clockwise Counterclockwise
Time in seconds ( 00:00 )

C. SPEED : 40 Meter Sprint

Time in seconds ( 00:00 )

D. POWER : Standing Long Jump

Firs Trial Second Trial

E. BALANCE : Stork Balance Stand Test

Right foot Left foot
Time in seconds ( 00:00 )

F. REACTION TIME : Stick Drop Test

First Trial Second Trial Third Trial Middle Score