Professional Documents
Culture Documents
Name: _________________________________________ Birthdate: _______________ Age: ____ ____ ____ Gender: _________
Family Name Given Name M.I. Month, Day, Year Years Month(s) Day(s) Male of Female
PMHR: ___________________ RHR: ___________________ THR 60%: ____________________ THR 80%: ___________________
Waist Circumference
Male Female
__________ cm Scoring Normal
40” or 102 cm 34.6” or 88 cm
Flexibility
Fitness Test Target Score 1st Trial Score 2nd Trial
Zipper Test (Shoulder Stretch) Pass or Fail R L
Sit and Reach 20-30 cm 25-40 cm cm cm
Male Female
Muscular Power
Fitness Test Target 1st Trial 2nd Trial
Standing Long Jump (according to age and gender) cm cm
Speed
Fitness Test Target Score
50-meter Sprint (according to age and gender) sec
Agility
Fitness Test Target Score
1st Trial sec
Shuttle Run 10-12 sec/round
2nd Trial sec
Tester: ___________________________________
Signature over printed name