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PHYSICAL FITNESS SCORE CARD

NAME: ____________________________ SEX: _______ AGE: ________


SECTION: ______________________

Part I: HEALTH-RELATED FITNESS COMPONENTS

A. BODY COMPOSITION: Body Mass Index (BMI)

Height (Meters) Weight (Kilograms) BMI Classification

B. CARDIOVASCULAR ENDURANCE: 3 MINUTE STEP TEST

Before the activity After the activity

C. STRENGTH

1. Push up 2. Basic Plank


Number of Push ups Time

D. FLEXIBILITY

1. Zipper Test 2. Sit and Reach


Overlap / Gap (Centimeters) Score in Centimeters
Right Arm Left Arm 1st 2nd 3rd

PART II: SKILL RELATED FITNESS COMPONENTS

A. COORDINATION: Juggling SCORE: _______

B. AGILITY: Hexagon Agility Test

Clockwise Time Counter Clockwise Time Average

C. SPEED: 40 meter sprint SCORE: ____________

D. POWER: Standing Long Jump

Distance (Centimeters)
First Trial Second Trial

E. BALANCE: Stork Balance Stand Test

Right Foot Time Left Foot Time

F. REACTION TIME: Stick Drop Test

1st Trial 2nd Trial 3rd Trial Middle Score

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