Republic of the Philippines

Department of Education
Caraga Administrative Region
Division of Agusan del Sur
(NAME OF SCHOOL)
(School Address)

PHILIPPINE PHYSICAL FITNESS TEST RECORD

Name: Birthdate: Sex:
(Family Name) (Given Name) (M.I.) (Month,Day,Year) (Male or Female)

BODY COMPOSITION HEALTH-RELATED FITNESS TEST

Age Weight Height Body Mass Index (BMI) Zipper Test (R) Zipper Test (L) Sit and Reach 3-Minute Step Test Push-up Basic Plank

GRADE/ MAPEH Teacher's Signature DATE TESTED

SECTION Over Printed Name
Fingers Fingers Distance
Score Score R.H.R. T.H.R. HH:MM:SS
Current Kg M BMI Class. Overlap Interpretation Overlap Interpretation reached Score Interpretation Cnts. Score Interpretation 00:00:00
Score Interpretation mm/dd/yyyy
(cm.) (cm.) (beats /min.) (beats /min.)
(cm.)

PRE
4
POST
PRE
5
POST
PRE
6
POST
 SKILL-RELATED FITNESS TEST
DATE TESTED
40-Meter Sprint Standing Long Jump Hexagon Agility Test Stick Drop Test Juggling Stork Balance
GRADE/ Pattern
Trials HH:MM:SS Trials Trials HH:MM:S HH:MM:S
Ave. MAPEH Teacher's Signature
Time Over Printed Name
SECTION HH:MM:SS
Score Interpretation Score Interpretation Score Interpretation Score Interpretation Score Interpretation
S S
HH:MM: Score Interpretation mm/dd/yyyy
00:00:00 counter 00:00:00 00:00:00
1st 2nd clockwise 1st 2nd 3rd 1st 2nd SS
clockwise (R) (L)
(cm.) (cm.) 00:00:00 (cm.) (cm.) (cm.) (hits) (hits) 00:00:00
00:00:00

PRE
4
POST

PRE
5
POST

PRE
6
POST

Legend : Kg = Kilogram Indicators: Exellent ꓿E

M = Meter Very Good ꓿ VG
Class. = Classification Good ꓿G
Cm = Centimeter Faire ꓿F
R.H.R. = Resting Heart Rate Needs Improvemnet ꓿NI
T.H.R. = Training Heart Rate Poor ꓿P
Cnts. = Counts
Ave. = Average
HH ꓿ Hour
MM ꓿ minute
SS ꓿ second