PHYSICAL FITNESS TEST FORM

NAME (Surname, First Name): Rigor, Pamella C. AGE: 17 SEX: F

PRE-TEST POST_TEST
Anthropometric Data:
Classification Classification
Height (m): 163 cm Height (m):
Weight (kg): 59 kg 59 kg Weight (kg):
BMI: (weight / height 2) 22.2 BMI: (weight / height 2)
Waist to hip ratio: 28 Waist to hip ratio:

Resting Heart Rate (bpm): 68 Resting Heart Rate (bpm):

Age-predicted MHR: Age-predicted MHR:

202
50% MHR: 50% MHR:
101
85% MHR: 161 85% MHR:

Fitness Indicators Fitness Indicators

Cardiovascular Fitness: 37 Cardiovascular Fitness:
VO2max: VO2max:
Muscular Fitness: 2 Muscular Fitness:
a. Push-up Test: c. Push-up Test: __________________
b. Curl-up Test: 15 d. Curl-up Test:___________________
Flexibility: Poor Flexibility:
a. Sit & Reach Test: c. Sit & Reach Test: _______________
b. Back Scratch Test: Fingertips touching d. Back Scratch Test:
b.1. Right: fingertips touching Fingertips not touching b.1. Right: _____________________
b.2. Left: fingertips not touching b.2. Left:

Student Name and Signature: PAMELLA C. RIGOR Student Name and Signature:

Name of Witness and Signature: Name of Witness and Signature: