Department of Education

SCHOOLS DIVISION OF LAOAG CITY

Laoag City

ILOCOS NORTE COLLEGE OF ARTS AND TRADES

Junior High Department GRADE & SECTION:
_________________
PHYSICAL FITNESS TEST SCORE CARD _________________

(Last Name) (First Name) (Middle Name) (Date of Birth) Age Sex
Part I. HEALTH RELATED FITNESS TEST
A. BODY COMPOSITION:
1. Body Mass Index (BMI)

Height (in meters) Weight (in kgs.) BMI Classification

B. CARDIOVASCULAR ENDURANCE: 3-Minute Step Test

Heart Rate per minute
Resting Heart Rate Training Heart rate

C. MUSCULAR STRENGTH:
1. 90 Degrees Push-up 2. Basic Plank
Score: Interpretation: Time: Interpretation:

D. FLEXIBILITY:
1. Zipper Test 2. Sit and Reach
Overlap (in centimeters) Interpretation 1st Try 2nd Try BEST SCORE
R: L: R: L:
PART II. SKILL-RELATED FITNESS TEST
A. SPEED: 40 meter sprint B. POWER
TIME (00:00) 1. Standing Long Jump
1 trial
st
2nd trial

C. AGILITY: Hexagon Agility Test

Clockwise (Time) Counterclockwise (Time) Average (Time)

D. REACTION TIME: Stick Drop Test

1st Trial: 2nd Trial: 3rd Trial: Middle score:
E. COORDINATION: Paper Juggling F. BALANCE: Stork Balance Stand Test
1st Trial: 2nd Trial: Right Foot: Time (00:00) Left Foot: Time (00:00)

____________________________________ NIKO JAY U. COLOMA

(Signature of student) (MAPEH TEACHER)