PHYSICAL FITNESS TEST (PFT) SCORE SHEET FOR P.E.

S.Y. 2022-2023
1x1
NAME: ___________________________________________________________ YEAR/SECTION: __________________
ID No. ________________________________________________ AGE: _________ SEX: ________MWHR: ___________

PART I. HEALTH – RELATED FITNESS TEST

PARAMETERS ACTIVITIES PRE-TEST POST-TEST

(1st Quarter) (4th Quarter)
Body Mass Index • Height (meters)
A. BODY COMPOSITION (BMI) • Weight (kilograms)
• BMI
BMI = Weight (kg.) • Classification
Height (m)2
Heart Rate Per Minute
B. CARDIOVASCULAR 3 – Minute Step Test • Before the Activity
ENDURANCE Heart Rate Per Minute
• After the Activity
Heart Rate Recovery
C. STRENGTH 90 Degrees Push-Up • Number of Push-Up
Basic Plank • Time (00:00)
Zipper Test Overlap Gap – Right Arm (cm)
D. FLEXIBILITY Overlap Gap – Left Arm (cm)
• First Try
Sit and Reach (cm) • Second Try
• Best Score

PART II. SKILL – RELATED FITNESS TEST

PARAMETERS ACTIVITIES PRE-TEST POST-TEST

A. COORDINATION Juggling • Score: Number of Hits
• Clockwise Time (00:00)
B. AGILITY Hexagon Agility Test • Counter Clockwise Time
C. SPEED 40 Meter Sprint • Time (00:00)
• First Trial (cm)
D. POWER Standing Long Jump • Second Trial (cm)
(distance in cm) • Middle Score (cm)
Stork Balance Stand Test • Right Foot Time (00:00)
E. BALANCE • Left Foot Time (00:00)
• First Trial (cm)
F. REACTION TIME Stick Drop Test • Second Trial (cm)
• Third Trial (cm)
• Middle Score (cm)

______________________________________ Working Heart Rate: _________ _________

Name & Signature of PE Instructor