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ACTIVITY 3

Form 3 -A
PHYSICAL FITNESS TEST SCORE CARD
Name: Kia Khyte L. Flores Sex: Female Age: 18
CLASS #: 56 Section: T2FEM Date: 12-14-21

Direction: Perform the following activities to assess your fitness level. Make sure to
observe social distancing and other health and safety precautions.

Task 1: Health-Related Fitness Test


A. Body Composition: Body Mass Index (BMI)
Body Mass Index (BMI)
Height (meters) Weight (Kilograms) BMI Classification
1.50 m 44kg 19.6 Normal

B. Cardiovascular Endurance: 3-Minute Step


Heart Rate per Minute
Before the Activity After the Activity
72 206

C. Muscular Endurance D. Muscle Strength


1. Push up 2. Basic Plank
Number of Push ups Time
9 40.2 seconds

E. Flexibility
1. Zipper Test 2. Sit and Reach
Overlap/Gap (centimeters) Score
Right Left First Try Second Try Third Try
13 cm 10 cm 77 cm 84 cm 75 cm
Task 2: Skill-Related Fitness Test

A. Coordination:
1. Juggling Score: 54

B. Agility:
2. Hexagon Agility Test
Clockwise: Time (00:00) Counterclockwise: Time (00:00) Average
7.8 7.2 7.5

C. Speed:
3. 40 Meter Sprint Time: 12.54 seconds

D. Power: Standing Long Jump E. Balance: Stork Balance Stand Test


Distance (centimeters) Right Foot: Time (00:00) Left Foot: Time(00:00)
First Trial Second Trial 20.7 16.2
111 128

F. Reaction Time: Stick/Ruler Drop Test


1st Trial 2nd Trial 3rd Trial Middle Score
15.2 Did not catch 14.1 14

E. Balance: Stork Stand


1st Trial 2nd Trial 3rd Trial Average Score
18.45 22.34 23 21.26

Evaluator’s Name: Aaliyah Julia Flores

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