FITNESS ASSESSMENT FORM

Name:
Date of Birth: Age: Sex:
A. RESTING HEART RATE
PRETEST MID-TEST POST TEST
Date
Bpm
Classification
Score
B. BODY COMPOSITION
1. Body Mass Index
Weight (kg.)
Height (m.)
BMI Result
Classification
Score
Date
2. Waist Circumference
WC Result
Interpretation
Score
Date
3. Waist to Hip Ratio (WHR)
WHR Result
Interpretation
Score
Date
 FITNESS ASSESSMENT FORM
Name: LECTANA, KIMBERLY ANN D.
Date of Birth: SEPTEMBER 29, 2004 Age: 18 yrs. old Sex: Female
A. RESTING HEART RATE
PRETEST MID-TEST POST TEST
Date
Bpm 63
Classification Very good
Score
B. BODY COMPOSITION
1. Body Mass Index
Weight (kg.) 40 kg.
Height (m.) (1.57) (2) = 2.
4649cm
BMI Result 16. 22
Classification Underweight
Score
Date
2. Waist Circumference
WC Result 66cm, (25 inches)
Interpretation Low
Score 2
Date
3. Waist to Hip Ratio (WHR)
WHR Result 0.80
Interpretation Low risk
Score 3
Date

Question:
1. What realization comes to your mind after knowing your Anthropometric’ result?
Answer:
After analyzing the result of my Anthropometric test, I realized that I need to exert efforts to become
physically fit and well to attain flexibility in terms of healthy living through the help of health-related fitness
activities and the guidance of the people who knows what was the effective way to be physically fit and
healthy.
C. CARDIORESPIRATORY FITNESS

Bicep Test 1st 2nd 3rd

Stage
Shuttle
VO, max
Rating
Score
Rockport 1st 2nd 3rd
Time
Hr (bpm)
Vo, max
Rating
Score
 FITNESS ASSESSMENT FORM
Name:
Date of Birth: Age: Sex:
A. RESTING HEART RATE
PRETEST MID-TEST POST TEST
Date
Bpm
Classification
Score
B. BODY COMPOSITION
1. Body Mass Index
Weight (kg.)
Height (m.)
BMI Result
Classification
Score
Date
2. Waist Circumference
WC Result
Interpretation
Score
Date
3. Waist to Hip Ratio (WHR)
WHR Result
Interpretation
Score
Date