NUTRITIONAL FITNESS TEST/ PHYSICAL FITNESS TEST

PRE TEST ____

SURNAME ____________________

POST TEST ____

FIRST NAME _____________________________ M.I ____EXT. NAME _____

YEAR/GRADE & SECTION: ______________________________

SCHOOL: ____________________________________________________________________________________
SCHOOL ADDRESS: _____________________________________________________________________________
GENDER: ______________________

DATE OF BIRTH: _______________________

TESTING DATE: _________________________

TEACHER: _________________________________

NUTRITIONAL STATUS
WEIGHT (kg): __________________

HEIGHT (m): ____________________

BODY MASS INDEX: ____________________

CLASSIFICATION: ______________________

PHYSICAL FITNESS TEST

STANDING LONG JUMP (cm)

_________________________________

CURLS UP

_________________________________

100 m SPRINT (minute point second)

_________________________________

ARM PUSH UPS

_________________________________

SHUTTLE RUN (seconds)

_________________________________

SIT AND REACH (cm)

_________________________________

1000 m RUN (minutes point seconds)

_________________________________

STEP UPS TEST (3 minutes)

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ZIPPER TEST [(PASSED P/FAILED F)]

RIGHT ARM: ______

LEFT ARM: ______