PHYSICAL FITNESS TEST SCORE SHEET

NAME: ___________________________________________ SEX: ____ AGE: ____

B.DAY:____________
Yr. & Section: _____________________________________
PART I. HEALTH- RELATED FITNESS TEST
A. BODY COMPOSITION: BODY MASS INDEX (BMI): ___________________
1. Body Mass (weight in Kgs.) ___________ Height (meters): ______________

B. CARDIOVASCULAR ENDURANCE: 3 min. step test (Pulse rate): Before: _____________

After: ______________
C. STRENGHT- Push- ups (score): ________ Basic Plank (Time): ____________________

D. FLEXIBILITY: Zipper Test: Right arm over left arm (cm.): _______ Left over right :_______
Sit And Reach Right leg:_______________ Left Leg: __________________
PART 2. SKILL- RELATED TEST

A. COORDINATION: Juggling (score): ______ Speed : 40 m. sprint (time): ______________

B. AGILITY: Hexagon Agility Test: Clockwise (time): __________
Counterclockwise (Time): ______________
Average (Clockwise time + counter)divided by 2: ___________

C. POWER: Standing Long Jump (cm.) 1st trial (Cm) : _______ __2nd trial: ______________

D. BALANCE : Stork Balance test: Right foot (time): _________ Left foot (time) :__________

D. REACTION TIME: Stick Drop Test: 1st trial : ______ 2nd ______ 3rd ______ Middle: ______

BMI FORMULA: EXAMPLE: WEIGHT= 60 KG. HEIGHT 1.67 M

So: Height 1.67 x 1.67= 2.7889 round off so 2.79
60 ÷ 2.79 = 21.505 round off 21. 51
BMI= 21.51

BMI CLASSIFICATION:
NORMAL: 18.5- 24.9 BMI
WASTED: BELOW 18.5 BMI
OVERWEIGHT: 25- 29.9 BMI
OBESE: 30.0 BMI and Above