Republic of the Philippines

Department of Education
Region X
DIVISION OF MISAMIS ORIENTAL
Cagayan de Oro City

PHYSICAL FITNESS TEST FORM

School Year: 2019 – 2020
PRE TEST

NAME: _________________________________ Grade/Section: ______________ Birthday: ____________ Age: ___________ Gender: _________

PART I. HEALTH-RELATED FITNESS TEST PART II. SKILL RELATED FITNESS TEST

A. BODY COMPOSITION A. SPEED

1. BODY MASS INDEX (BMI) 1.) 40 - METER SPRINT
Height (inches) Weight (lbs.) BMI Classification

B. POWER
2. Waist Circumference 1. Basketball Pass 2. Standing Long Jump
Waist Circumference (cm) Interpretation Distance (meter) Distance (cm)
1st trial 2nd trial 3rd trial 1st trial 2nd trial

B. CARDIOVASCULAR ENDURANCE: 3 – Minute Step C. AGILITY: Hexagon Agility Test

Heart Rate Per Minute
Resting Heart Rate Training Heart Rate Recovery Heart Rate Clockwise (Time) Counter Clockwise (Time)

C. MUSCULAR STRENGTH D. REACTION TIME: Stick Drop Test

1.) 90 degree Push-Up 2. Curl – Up
Number of Push-Up Number of Curl-Up 1st trial 2nd trial 3rd trial Middle Score

D. FLEXIBILITY E. COORDINATION: Paper Juggling (3 trials) F. BALANCE: Stork balance Test (3 trials)
1. Zipper Test/Shoulder Flex 2. Sit and Reach
R/L L/R Score in centimeter 1 2 3 Average 1 2 3 Average
Teacher: ______________________