Department of Physical Education

Sports Science and Wellness Center, UP Manila

Fitness Test Form
P.E. Course/Section: ________________________________

Semester/A.Y.: ___________________

Name: ____________________________________________

Date of Birth: ____________________

Age: ________

Professor: _______________________

Sex: _________
Pre-Test

I. BODY MASS INDEX

Weight (Wt in kg)
Height (Ht in meters)
BMI* (kg/m2)
*Wt in kg/Ht in m2

_______ kg
_______ m
_______ kg/m2
Rating: _____________

Post-Test
________ kg
________ m
________ kg/m2
Rating: _____________

II. GIRTH MEASUREMENT

1st 2nd 3rd Average
Waist Circumference (cm)
__ __ __ ______
Hip Circumference (cm)
__ __ __ ______
Waist to Hip Ratio*
___________________
*Waist (ave)/Hip (ave)
Rating: ___________________

1st 2nd 3rd Average

___ __ __ ______
___ __ __ ______
___________________
Rating: ____________

III. MUSCLE STRENGHT AND ENDURANCE

Push-ups (No. of reps)
___________________
Rating: ___________________
Planks (seconds)
___________________
Rating: ___________________

___________________
Rating: ___________________
___________________
Rating: ___________________

2nd 3rd Highest

Score
__ __ __ ______
Rating: ___________________

Highest
Score
___ __ __ ______
Rating: ___________________

V. CARDIOVASCULAR FITNESS
3-minute step test
Resting Heart Rate (RHR)
Beats per minute (bpm)
__________________________

Resting Heart Rate (RHR)

__________________________

Heart Rate (after the test)

__________________________

Heart Rate (after the test)

__________________________

IV. FLEXIBILITY
Sit and Reach (inches)

Beats per minute (bpm)

1st

1st

2nd 3rd

I. BODY MASS INDEX

Rating Scale
Wt in kg / Ht in m2
Classification
BMI
Obese
> 30
Marginal
25-30
Good Fitness
Low

17-24.9
< 17

II. WAIST TO HIP RATIO

Rating Scale
Waist / Hip
Classification
Males
Females
High Risk
>1.0
>.85
Moderately High
0.90-1.0 0.80-0.85
Risk
Low Risk
<.90
<0.80
IV. FLEXIBILITY
Classification
Males
High
16 +
Performance
Good Fitness
13-15
Marginal
10-12
Low
Remarks:

<9

Females
17+

III. MUSCLE STRENGHT AND ENDURANCE

Push-ups
Males
Females
Age
15-19
20-29
15-19
20-29
Needs
<17
<16
< 11
<9
Improvement
Fair
18-22
17-21
12-17
1014
Good
23-28
22-28
18-24
15-20
Very good
29-38
29-35
25-32
21-29
Excellent
> 30
> 36
> 33
> 30
Planks
Poor
0-15 seconds
Fair
16-29 seconds
Average
30-44 seconds
Good
Excellent

45-59 seconds
60 seconds and up

V. CARDIOVASCULAR FITNESS
Age
18-25

14-16
11-13

Classification
Excellent

Males
< 79

Females
< 85

< 10

Good

79-89

85-98

Above Average

90-99

99-108

Average

100-105

109-117

Below Average

106-116

118-126

Poor

117-128

127-140

Very Poor

> 128

> 140