Pamantasan ng Lungsod ng Muntinlupa

Name: ____________________________ Course & Section _________________

Physical Fitness Test Score Card

Health Related Fitness Test
A. BODY COMPOSITION:
Body Mass Index Height (meters) Weight (kilograms) BMI Classification
Pre-test
Post-test

Waist Circumference
Waist Circumference (Cm) Classification
Pre-Test
Post Test

B. Cardio Vascular Endurance:

3-minute Step Test Heart Rate Before the Heart Rate After the Interpretation
Activity Activity/Recovery
Pre-test
Post-test
Strength
C.1 Push-up Number of Push-up Interpretation
Pre-test
Post-test
C.2 Basic Plank Number of seconds Interpretation/ score
(time)maximum 90 secs
Pre-test
Post-test
Standard for Basic Plank
Score Standard Interpretation
5 51 seconds and above Excellent
4 46 - 50 seconds Very Good
3 31 - 45 seconds Good
2 16 - 30 seconds Fair
1 1 - 15 seconds Needs Improvement

C. Flexibility
D.1 Zipper Right arm Overlap Left arm Interpretation/
Test /Gap overlap/ Gap score
Pre-test
Post-test
D.2 Sit First Trial Second Best Score Interpretation/
and reach Trial score
Pre-test
Post-test