REMINDER: Not all the physical fitness tests written in the score card will be done.

Follow what
is being scheduled daily.
Day 1. 3-minute step test & Push-up
Day 2 Zipper test, Sit and Reach, Paper Juggling
Day 3 Hexagon Test, Stork Balance Stand Test
Physical Fitness Score Card
Name Sebastian James Z Buquid Sex:Male Age:12
Part 1: Health Related Fitness

A. BODY COMPOSITION: Body Mass Index (BMI)

Height (Meters) Weight BMI Classification
(Kilograms)
4’9 38 pounds  1068.7

B. CARDIO VASCULAR ENDURANCE: 3-MINUTE STEP TEST

Heart Rate per Minute
Before Activity After Activity
50 beats 80 beats

C. STRENGTH
1. Push up 2. Basic Plank
Number of Push ups Time
13 120 secs

D. FLEXIBILITY
1. Zipper Test 2. Sit and Reach
Overlap/Gap
Score in Centimeters
(centimeters)
Right Arm Left Arm 1st 2nd 3RD
3.2 3.1 43 43 43
Part II: Skill Related Fitness
C. COORDINATION: Juggling Score:

D. AGILITY: Hexagon Agility Test

Clockwise Time (00:00) Counter Clockwise Time Average

(00:00)
11.2 11.2

E. SPEED: 40meter sprint Score: Time in nearest seconds:

F. POWER: Standing Long Jump

Distance (Centimeters)
First Trial Second Trial
1.15 meters 1.15 meters

G. BALANCE: Stork Balance Stand Test

Right Foot Time (00:00) Left Foot Time (00:00)
10.6 secs 11.3 secs

H. REACTION TIME: Stick Drop Test

1st Trial 2nd Trial 3rd Trial Middle Score
0 7.5 5.3