PHYSICAL FITNESS TEST FORM

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Name Grade & Section Age Sex
___________City Central School ______________ _________Cebu City _________________ ______VII______
School Division Region

PART I.HEALTH – RELATED FITNESS TEST

A. BODY COMPOSITION
1. Body Mass Index (BMI)
Height (in inches) Weight (in pounds) BMI Classification

B. CARDIOVASCULAR ENDURANCE: 3-Minute Step Test

Heart Rate per minute
Resting Heart Rate Training Heart Rate
C. STRENGTH
1. Push-up 2. Basic Plank
Number of Push-ups Time

D. FLEXIBILITY
1. Zipper Test 2. Sit and Reach
Overlap (in centimeters) Gap (in centimeters) Score (in centimeters)

PART II.SKILLS – RELATED FITNESS TEST

A. SPEED: 40 Meter Sprint
TIME (00:00)

B. POWER
1. Standing Long Jump
Distance (in centimeters)
st nd
1 Trial 2 Trial

C. AGILITY: Hexagon Agility Test

Clockwise (Time) Counterclockwise (Time) Average (Time)

D. REACTION TIME: Stick Drop Test

st nd rd
1 Trial 2 Trial 3 Trial Middle Score

E. COORDINATION: Juggling
First Trial: Number of Hits Second Trial: Number of Hits

F. BALANCE: Stork Balance Stand Test

First Trial: TIME (00:00) Second Trial: TIME (00:00)

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Student’s Signature

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CAROLL ANNE “DUCHESS” S. VELOSO
MAPEH Teacher

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