PHYSICAL FITNESS TEST (PFT) SCORE CARD

S.Y. 2020 - 2021

NAME: ___________________________________ AGE: ______ SEX: ______ DATE: ___________________

SECTION: ____________________________ CP#: _______________________ BIRTHDAY: _________________
Permanent Address: _______________________________________________________________________________

I. Warm-up Activity:
1. Aerobic Exercise/Zumba Dance

II. PART I. HEALTH – RELATED FITNESS TEST

PARAMETERS ACTIVITIES PRE-TEST POST-TEST

(1st Quarter) (4th Quarter)
Body Mass Index (BMI) ● Height (meters)
A. BODY ● Weight (kilograms)
COMPOSITION BMI = Weight (kg.) ● BMI
Height (m)2 ● Classification
Waist Circumference Risk:_____________________
Heart Rate Per Minute
B. CARDIOVASCULAR 3 – Minute Step Test ● Before the Activity
ENDURANCE Heart Rate Per Minute
● After the Activity
Heart Rate Recovery
C. STRENGTH 90 Degrees Push-Up ● Number of Push-Up
Basic Plank ● Time (00:00)
Zipper Test Overlap Gap – Right Arm (cm)
D. FLEXIBILITY Overlap Gap – Left Arm (cm)
● First Try
Sit and Reach (cm) ● Second Try
● Best Score

III. PART II. SKILL – RELATED FITNESS TEST

PARAMETERS ACTIVITIES PRE-TEST POST-TEST

A. COORDINATION Juggling ● Score: Number of Hits
Stork Balance Stand Test ● Right Foot Time (00:00)
B. BALANCE ● Left Foot Time (00:00)
● First Trial (cm)
C. REACTION TIME Stick Drop Test ● Second Trial (cm)
● Third Trial (cm)
● Middle Score (cm)

IV. Cool-Down Activity:

______________________________________ ____________________________________
Signature Over Printed Name of Parent/Guardian Signature Over Printed Name of Parent/Guardian