PHYSICAL FITNESS SCORE CARD

As you perform various pre-assessment of health-related fitness, it is important that you

keep your performance on record. Fill-out this score card with the results of your physical
fitness tests.

LAST NAME FIRST NAME

AGE SEX PE CODE Course/Yr/Sec

DATE OF BIRTH (MM/DD/YYYY) PE TITLE

INSTRUCTOR'S
SEM S.Y. NAME
PRE - TEST POST TEST
Anthropometry and Body Composition Anthropometry and Body Composition
I. BODY MASS INDEX I. BODY MASS INDEX
Weight Weight Height Weight Weight Height
(kg) (lbs) (m) (kg) (lbs) (m)

BMI = weight BMI = weight

Rating Rating
(kg) height(m)² (kg) height(m)²
II. WAIST CIRCUMFERENCE II. WAIST CIRCUMFERENCE
(centimeters) (centimeters)
1st 2nd 3rd Average 1st 2nd 3rd Average

Rating Rating
MUSCULOSKELETAL
FITNESS MUSCULOSKELETAL FITNESS
1-min elbow Seconds: 1-min elbow Seconds:
plank plank
Ratings Ratings
Left Right Ratings Left Right Ratings
Wall-Sit Test Wall-Sit Test

Mobility Flexibility Test Mobility Flexibility Test

Trunk Rotation Rating Rating Trunk Rotation Rating Rating
Left Right Left Right
Flexibility Test Flexibility Test
Balance Balance
Stork Balance Rating: Stork Balance Rating:
Seconds: Seconds:
Test Test
Coordination Test Coordination Test
Alternate Alternate
Hand-Wall Toss Catches Rating: Hand-Wall Catches Rating:
Test Toss Test

Power Power

Vertical Jump Inches Rating: Vertical Jump Inches Rating:

Accomplished by:

Student’s Signature over Printed Name Date Signed