FITNESSGRAM SCORE SHEET

Record individual student information next to each trial.

Student Name:___________________________ School:_____________________________

Grade:_______________ Period:____________ Teacher:____________________________
Age:____________________ Gender:___________

Assessment Item Student Performance

Pre-Test and Post-Test Scores

Height Date:____________ Score:_____________

Date:____________ Score:_____________
Difference:______________

Weight Date:____________ Score:_____________

Date:____________ Score:_____________
Difference:______________

Pacer (Aerobic Fitness) Date:____________ Score:_____________

Date:____________ Score:_____________
Difference:______________

Push-ups (Muscular Strength) Date:____________ Score:_____________

Date:____________ Score:_____________
Difference:______________

Curl-ups (Muscular Endurance) Date:____________ Score:_____________

Date:____________ Score:_____________
Difference:______________

Sit and Reach (Flexibility) Date:____________ Score:_____________

Date:____________ Score:_____________
Difference:______________

On the back, create at least one S.M.A.R.T. goal that you would like to obtain at the end of the
year.