Technological Institute of the Philippines

Quezon City
Physical Education Department
S.Y. 2020-2021

“PRE-PHYSICAL FITNESS FORM”

Name: __________________________
Year& Section: __________________ Class schedule: ________________________
Course/subject: __________________ Instructor’s name: ______________________

(Anthropometric)

Weight BMI: ____________ Classification: ___________

(kg):

Height
Formula: BMI
(m):
Anterior view (PICTURE) Lateral view (PICTURE) Posterior view (PICTURE)

PHYSICAL FITNESS TRIAL 1 TRIAL 2 AVERAGE SCORE TOTAL SCORE

TEST (EQUIVALENT POINT/S) (60 points)
1. 3-MINUTE STEP /10
TEST
2. PLANK TEST /10
(1 MINUTE)
3. ZIPPER TEST /10
/60
4. SIT & REACH /10

5. PUSH-UP /10
(1 MINUTE)
6. WALL SIT TEST /10
(1 MINUTE)
Student’s signature: ___________________________

/asdc.pe