Bicol University

Institute of Physical Education, Sports and Recreation

Legazpi City
Email Address: buipesr@gmail.com

Physical Fitness Test Form

Name:

Course & Section:

Address:

Contact Number:

Health Status

Health History: :

Remarks:
(What are you going to write in this area,
it’s either Fit person “ There is no health
history written above” or Unfit person “
there is health history written above”)

Resting Heart Rate: Pre Test: Post Test:

Body Mass Index: Measure your weight in kilogram and height in meters and record the results. Be sure to record the unit of
measurement.
Weight: ______________ Height: _______________
Calculating BMI: BMI equals body weight in kilograms divided by height in meters squared (kg/m2).
Body weight ___________ kg ÷ height ___________ m2 = BMI ___________ kg/m2

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 Assessment
Pre Test

Activity Name Date Performed Trial 1 Trial 2 Best Attempt Remarks

3MIN STEP TEST

SIT AND REACH

ZIPPER TEST
-R.A = Right Arm
-L.A = Left Arm
WALL SIT

STORK STAND BALANCE TEST

-R.L = Right Leg
-L.L = Left Leg
PLANK (GIRLS)

PARTIAL CURL-UPS

PUSH-UP (BOYS)

SQUATS

VERTICAL JUMP

Quadrant or Cross ( + ) Jump Test

SHUTTLE RUN

_______________________________
NAME & SIGNATURE

Disclaimer: This PFT form was

provided by the instructor of
CSPEAR. The stated

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information was adapted from
the references that concerned the
areas about Physical
Fitness Test. Regardless, the safety
and proper execution of the given
assessment was
provided and written on the file
entitled PHYSICAL FITNESS
TEST (Test Instructions &
Procedures) to be discussed by the
instructor.
Disclaimer: This PFT form was provided by the instructor of BUIPESR. The stated information was adapted from the references that concerned the
areas about Physical Fitness Test. Regardless, the safety and proper execution of the given assessment was provided and written in the file entitled
PHYSICAL FITNESS TEST (Test Instructions and Procedures) to be discussed by the instructor.

Prepared by:

________________________________
Instructor, BUIPESR

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