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  • Physical Fitness Test Score Card: (Enclosure No.2 To Deped Order No.031, S.2019)

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    Janseen mole Anastacio
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    Janseen Mole Anastacio, an 18-year-old male, completed a physical fitness test. His results showed a normal BMI of 20.97. His cardiovascular endurance was tested with a 3-minute step test that raised his heart rate from 72 to 112 beats per minute. His strength was assessed through 20 pushups and holding a basic plank for 1 minute and 10 seconds. Flexibility tests found overlaps of 9cm on the right and 3cm on the left in the zipper test, and his best sit and reach score was 75cm. Skill tests measured coordination through 18 juggles, agility with a hexagon test in 4.99 seconds, speed in a 40m sprint of 6.16

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    JANSEEN-PE

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    Janseen Mole Anastacio, an 18-year-old male, completed a physical fitness test. His results showed a normal BMI of 20.97. His cardiovascular endurance was tested with a 3-minute step test that raised his heart rate from 72 to 112 beats per minute. His strength was assessed through 20 pushups and holding a basic plank for 1 minute and 10 seconds. Flexibility tests found overlaps of 9cm on the right and 3cm on the left in the zipper test, and his best sit and reach score was 75cm. Skill tests measured coordination through 18 juggles, agility with a hexagon test in 4.99 seconds, speed in a 40m sprint of 6.16

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    10 views4 pages

    Physical Fitness Test Score Card: (Enclosure No.2 To Deped Order No.031, S.2019)

    Uploaded by

    Janseen mole Anastacio
    Janseen Mole Anastacio, an 18-year-old male, completed a physical fitness test. His results showed a normal BMI of 20.97. His cardiovascular endurance was tested with a 3-minute step test that raised his heart rate from 72 to 112 beats per minute. His strength was assessed through 20 pushups and holding a basic plank for 1 minute and 10 seconds. Flexibility tests found overlaps of 9cm on the right and 3cm on the left in the zipper test, and his best sit and reach score was 75cm. Skill tests measured coordination through 18 juggles, agility with a hexagon test in 4.99 seconds, speed in a 40m sprint of 6.16

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    © All Rights Reserved
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    of 4

    (Enclosure No.2 to DepEd Order No.031, s.

    2019)

    PHYSICAL FITNESS TEST SCORE CARD

    NAME: JANSEEN MOLE ANASTACIO SEX: MALE AGE: 18

    Part 1: Health-Related Fitness Test

    A.BODY COMPOSITION: Body Mass Index (BMI)

    1. Body Mass Index (BMI)

    Height (meters) Weight (kilograms) BMI Classification


    1.69m 60 20.97 Normal
    B. CARDIOVASCULAR ENDURANCE: 3-Minute Step

    Heart Rate per minute


    Before the Activity After the Activity
    72 112
    C. STRENGTH

    1. Push up 2. Basic Plank

    Number of Push ups


    20
    Time
    1:10seconds

    D. FLEXIBILITY

    1. Zipper Test

    Overlap/Gap (centimeters)
    Right Left
    9cm 3cm
    2. Sit and Reach

    Score (centimeters)
    First Try Second Try Best Score
    69cm 75cm 75cm
    Part 2: Skill-Related Fitness Test

    A.COORDINATION: Juggling Score: 18

    B. AGILITY: Hexagon Agility Test

    Clockwise: Time (00:00) Counter clockwise: Time (00:00) Average


    00:04.99 00:04.99 00:04.99

    C.SPEED: 40 meter sprint Time: 6.16 Seconds

    D. POWER: Standing Long Jump

    Distance (centimeters)
    First Trial Second Trial
    259cm 263cm

    E. BALANCE: Stork Balance Stand Test

    Right Foot: Time (00:00) Left Foot: Time (00:00)


    00:21.23 00:28.67

    F. REACTION TIME: Stick Drop Test

    1st Trial 2nd Trial 3rd Trial Middle Score


    6cm 2cm 1cm 2cm

    PAR-Q & YOU


    Common sense is your best guide when you answer these questions. Please read the questions
    carefully and answer each one honestly: check YES or NO.

    YES NO
    ✔
    1. Has your doctor ever said that you have a heart condition and that you should only do
    physical activity recommended by a doctor?
    ✔
    2. Do you feel pain in your chest when you do physical activity?
    ✔
    3. In the past month, have you had chest pain when you were not doing physical activity?
    ✔
    4. Do you lose your balance because of dizziness or do you ever lose consciousness?

    ✔ 5. Do you have a bone or joint problem (for example, back, knee, or hip) that could be made worse
    by a change in you physical activity?
    ✔
    6. Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or
    heart condition?
    ✔
    7. Do you know any other reason why you should not do physical activity?

    *I have read, understood and completed this questionnaire. Any questions I had were answered to my full
    satisfaction.*

    NAME: Janseen Mole Anastacio

    SIGNATURE: DATE: OCTOBER 3, 2021

    SIGNATURE OF PARENT: WITNESS: Mayline Anastacio

    Or GUARDIAN (for participants under the age of majority)

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