MY FAMILY MEMBERS PHYSICAL FITNESS TESTS RECORD SHEET

Name:__________________________ Birthdate:___________ Age: ________ Sex:________

(Family Name)(Given Name)(Middle Name)

(Month, Day, Year)

(Current Age)

(Male or Female)

Year & Section: _______________________ Teacher:________________________________

HEALTH-RELATED PHYSICAL FITNESS TESTS
1. Flexibility Tests
Sit-And-Reach
Left Leg Bent ____________ Centimeters
Right Leg Bent ____________ Centimeters
2. Cardiorespiratory Endurance Test
1 Kilometer Run/Walk: Time _______ Minutes & Seconds
3. Muscular Strength/Endurance Tests

Partial
Curl-ups ______

Right Angle
Push-ups ______

4. Body Composition: Body Mass ___________ Kilograms

Stature __________ Meters

Body Mass Index (BMI) ___________

Classification
___________

Evaluation:__________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
_________