Department of Education

Region III
City Schools Division of Mabalacat
Madapdap ResettlementHigh School
Dapdap, Mabalacat City, Pampanga
Telephone No.: (045-332-4281)

REVISED PHYSICAL FITNESS TEST SCORE CARD

NAME: SEX: AGE:

Part I: Health Related Fitness Test

A. BODY COMPOSITION: Body Mass Index (BMI)

1. Body Mass Index (BMI)

Height (meters) Weight (kilograms) BMI Classification

B. CARDIO VASCULAR ENDURANCE: 3 Minute Step

Heart Rate Per Minute

Before the Activity After the Activity

C. STRENGTH

Push Up Basic Plank

Number of Push Ups

D. FLEXIBILITY

Zipper Test Sit and Reach

Overlap/Gap (centimeters) Score (centimeters)
Right Left First Try Second Try Best Score

Part II: Skill Related Fitness Test

A. COORDINATION: Juggling
Score

B. AGILITY: Hexagon Agility Test

Clockwise: Time (00:00) Counterclockwise: Time (00:00) Average

C. SPEED: 40 Meter Sprint

Time

D. POWER: Standing Long Jump

Distance (centimeters)
First Trial Second Trial

E. BALANCE: Stork Balance Stand Test

Right Foot: Time (00:00) Left Foot: Time (00:00)

F. REACTION TIME: Stick Drop Test

 1st Trial 2nd Trial 3rd Trial Middle Score

REVISED PHYSICAL FITNESS TEST SCORE CARD

NAME: SEX: AGE:

Part I: Health Related Fitness Test

A. BODY COMPOSITION: Body Mass Index (BMI)

1. Body Mass Index (BMI)

Height (meters) Weight (kilograms) BMI Classification

2. CARDIO VASCULAR ENDURANCE: 3 Minute Step

Heart Rate Per Minute

Before the Activity After the Activity

3. STRENGTH

Push Up Basic Plank

Number of Push Ups

4. FLEXIBILITY

Zipper Test Sit and Reach

Overlap/Gap (centimeters) Score (centimeters)
Right Left First Try Second Try Best Score

Part II: Skill Related Fitness Test

A. COORDINATION: Juggling
Score

B. AGILITY: Hexagon Agility Test

Clockwise: Time (00:00) Counterclockwise: Time (00:00) Average

C. SPEED: 40 Meter Sprint

Time

D. POWER: Standing Long Jump

Distance (centimeters)
First Trial Second Trial

E. BALANCE: Stork Balance Stand Test

Right Foot: Time (00:00) Left Foot: Time (00:00)

F. REACTION TIME: Stick Drop Test

1st Trial 2nd Trial 3rd Trial Middle Score