Republic of the Philippines

Department of Education
Region III – Central Luzon
Tarlac City Schools Division
MALIWALO HIGH SCHOOL
Maliwalo, Tarlac City

PHYSICAL FITNESS TEST (PFT) SCORE CARD

S.Y. 2018 – 2019

NAME: ___________________________________ GRADE/SECTION: __________________AGE: _____ SEX: ____

PART I. HEALTH – RELATED FITNESS TEST

PARAMETERS ACTIVITIES RESULT

Body Mass Index  Height (meters)
(BMI)  Weight (kilograms)
A. BODY
COMPOSITION  BMI
BMI = Weight(kg.)  Classification
2
Height (m)

Heart Rate Per Minute

3 – Minute Step (Before the Activity)
B. CARDIOVASCULAR Test Heart Rate Per Minute
ENDURANCE (After the Activity)
 Cardiovascular Endurance
Rating

Score RATING
90 Degrees Push-Up  Number of Push-Up
C. MUSCULAR
STRENGTH/ENDURANCE Curl-Ups  Number of Curl-Ups
Score RATING
Zipper Test Overlap Gap – Right Arm
(cm)
D. FLEXIBILITY
Overlap Gap – Left Arm (cm)
 First Try
Sit and Reach  Second Try
(cm)  Best Score

HEALTH – RELATED FITNESS TEST RATINGS

NAME: ___________________________________
GRADE/SECTION: _________________________

PART II. SKILL – RELATED FITNESS TEST

PARAMETERS ACTIVITIES RESULT
Score Rating
A. COORDINATION Juggling  Score: Number of
Hits
Time Rating
Clockwise Time (00:00)
B. AGILITY Hexagon Agility Test Counter Clockwise Time (00:00)

Time Rating
C. SPEED 40 Meter Sprint  Time (00:00)

Score Rating
 First Trial (cm)
D. POWER Standing Long Jump  Second Trial (cm)
(distance in cm)  Middle Score (cm)

Time Rating
Stork Balance Stand  Right Foot Time
E. BALANCE Test (00:00)
 Left Foot Time
(00:00)
Score Rating
 First Trial (cm)
F. REACTION TIME Stick Drop Test  Second Trial (cm)
 Third Trial (cm)
 Middle Score (cm)

ALNAIR B. CAWIGAN .
Name of MAPEH Teacher