Republic of the Philippines

Department of Education
REGION VIII
SCHOOLS DIVISION OF CALBAYOG CITY
CALBAYOG CITY NATIONAL HIGH SCHOOL (313801)

REVISED
Name: ________________________________
School: _______________________________
Grade & Section: _________________
Pretest Posttest
Age: ____
Date: __________

PHYSICAL
RPFT COMPONENTS
HEALTH RELATED FITNESS COMPONENTS
ACTUAL RESULTS

Height (m): _____

CLASSIFICATION SIGNATURE

FITNESS TEST
1 Body Mass Index (BMI) Weight (kg.) ____
BMI Result: ________

2 Zipper Test (cm.) L: __ R: ___ F: ____

1st: ____ 2nd: ____

(RPFT)
3 Sit & Reach (cm.) Best: ___________

Before: _____________
4 3-Minutes Step Test (seconds)
After: ______________
90 degree Push Ups (no. of
5
repetitions)

INDIVIDUAL
6 Basic Plank (no. of secs.)

SKILL-RELATED FITNESS COMPONENTS

7 40 Meter Sprint (seconds)

8 Standing Long Jump (cm.) 1st: ______ 2nd: _______

SCORE SHEET
9 Hexagon Agility Test (seconds) CW: ____ CCW: ____

10 Stick Drop Test (middle score) 1st: __ 2nd: __ 3rd: __

11 Paper Juggling (no. of touches)

12 Stork Balance Stand Test (sec.) R: ________ L: ________

________________________________ MARILEE P. BALBARONA-TIBO

Student’s Signature Teacher’s Signature

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