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Name: MELANIE L.

ABALDE
Section: BSIT-1A
Physical Activity Level*:

Instructions for CSST (pre-test)

1. Make sure you have been green lighted by your Professor/Instructor to perform the CSST.
2. Read the CSST Protocol. For guidance, watch the video instruction on CSST (link to be
given by your instructor/professor)
3. Warm-up. Jog around your area- if permitted, or jog in place, for 5 minutes
4. Execute the CSST. Ask a person to help you in administering the tests.
5. Record your results below. *Note: to determine your physical activity level, check the next
page)

Fill out the form below:

Test Time in Picture Remarks


seconds


Forearm Plank Test 50

Hollow Body Hold 17 ●


Back Extension 25


Side Plank (Right
20
Side)

Side Plank (Left


20
Side)

*Note: Write on remark section to explain why you CANNOT perform the test. If you are
able to perform the test, leave it blank.

Name of Tester:
Signature of Tester:
Date:

CMU PEDept 2nd Sem 2021-2022


How to determine your Physical Activity Level:

Retrieved from: http://iprofile.wiley.com/iprofile/html/WhatIsMyActLevelPage.html

Created by: CMU PE DEPT 2md Sem AY2020-2021

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