Technological Institute of the Philippines

Quezon City
Physical Education Department
S.Y. 2022-2023
“PHYSICAL FITNESS FORM”

Name: GELAGA, LANCE L.

Year& Section: 2ND YR - EE22S1 Class schedule:1:30 - 3:30 ___ ____________
Course/subject: PE - 004 Instructor’s name: SIR BUTZ HERNANDO__

(Pre-anthropometric)
Weight 53
(kg): BMI: 20______ Classification:Normal/Healthy Weight
Below 18.5 Underweight
Height 1.63
18.5 – 24.9 Normal/Healthy Weight
(m):
25.0 – 29.9 Overweight
30.0 and Above Obese

Formula: BMI

PICTURE (Anterior view) PICTURE (Lateral view) PICTURE (Posterior view)

POST-PHYSICAL FITNESS TEST

PHYSICAL FITNESS TEST TRIAL 1 TRIAL 2 AVERAGE RESULTS

= (Trial 1 + Trial 2) ÷ 2
1. Three (3) minute Step/Beep Test 173bpm/3.7level ***************

2. Sit and Reach

_42_inches __40_inches _41__inches
3. Push-ups (One-minute)
__25__Repetitions __15__Repetitions _20__Repetitions
4. ZIPPER TEST/BACK SCRATCH R:3 R:3 R:3
L:1 L:1 L:1
5. Plank Test (One-Minute)
__60__Seconds _40___Seconds _50__Seconds
6. Wall Sit Test (One-Minute)
__30__Seconds _25___ Seconds _27.5__ Seconds
“I affirm that I have not given or received any unauthorized help on this assignment and that this work is my own”
STUDENT’S SIGNATURE: GELAGA, LANCE L. DATE: 02/29/24
/asc.pe