Department of Education

Region X-Northern Mindanao

DIVISION OF MALAYBALAY CITY
Purok 6, Casisang, Malaybalay City

REVISED PHYSICAL FITNESS TEST (PFT) SCORE CARD

SY 2021 – 2022
Name: Grade/Section Age: Sex:
School: District: Birthdate:

PART I. HEALTH – RELATED FITNESS TEST

BODY COMPOSITION Body Composition Meters/kg BMI Classification

 Height (meters)
Body Mass Index (BMI)
 Weight (kilograms)
CARDIOVASCULAR ENDURANCE Heart Rate Per Minute

 Before the Activity

3 – Minute Step Test
 After the Activity
STRENGTH Best Score Rubric Score Interpretation

90 Degrees Push-Up  Number of Push-Up

Basic Plank  Time (00:00)
FLEXIBILITY Overlap/Gap (cm) Best Score Rubric Score Interpretation

 Right Arm
Zipper Test
 Left Arm
Attempts Trial Score Best Score Rubric Score Interpretation
Sit and Reach (cm)  Try
1st
 2nd Try

PART II. SKILL – RELATED FITNESS TEST

COORDINATION Trial(s) No. of Hits Best Score Rubric Score Interpretation

 1st Trial
Juggling  2nd Trial
 3rd Trial
AGILITY Rotation Time (00:00) Average Rubric Score Interpretation

 Clockwise
Hexagon Agility Test
 Counter
Clockwise
SPEED Best Time (00:00) Rubric Score Interpretation

40 Meter Sprint
POWER Trial(s) Score in cm Best Score Rubric Score Interpretation

Standing Long Jump  1st Trial

(distance in cm)  2nd Trial
Right Time Best Left Time Best Average Rubric
BALANCE Foot (00:00) Time Foot (00:00) Time (R & L) Score
Interpretation

1st Trial 1st Trial

Stork Balance Stand Test 2nd Trial 2nd Trial
3rd Trial 3rd Trial
REACTION TIME Trial(s) Score in cm Middle Score (cm) Rubric Score Interpretation

 1st Trial
Stick Drop Test  2nd Trial
 3rd Trial

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Name of Teacher