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PFT Score Card

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PHYSICAL FITNESS TEST SCORE CARD

NAME:___________________________________ Year and Section:_________________SEX: _____


AGE:_____

PART 1: HEALTH-RELATED FITNESS TEST


A.
PRE-TEST POST-TEST
Height Weight BMI Classification Height Weight BMI Classificati
(meters) (Kilogram) (meters) (Kilogram) on

Remarks: Remarks:
Body Composition: Body Mass Index
B. Flexibility: Sit & Reach and Zipper Test
SIT & REACH ZIPPER TEST
PRE-TEST POST TEST PRE-TEST POST TEST
1st Trial 2nd Trial Best 1st Trial 2nd Trial Best Right Left Right Left
(cm) (cm) Score (cm) (cm) Score (cm) (cm) (cm) (cm)

Remarks: Remarks: Remarks: Remarks:

C. Muscular Strength/Endurance: Push-up and Basic Plank


PUSH-UP BASIC PLANK
Number of Repetition Number of Repetition Time Time
(Pre-test) (Post test) (Pre-test) (Post-test)

Remarks: Remarks:
D. Cardio-Vascular Endurance: 3 Minutes Step Test
PRE-TEST POST-TEST
Resting Heart Rate Working Heart Rate Resting Heart Rate Working Heart Rate
Per minute Per minute Per minute Per minute

Remarks: Remarks:

PART 1: SKILL-RELATED FITNESS TEST

PRE-TEST POST TEST


A. Right Foot: Left Foot: Right Foot: Left Foot: Balance: Stork
Time Time Time Time
Stand Test
Remarks: Remarks:

PRE-TEST POST TEST


B. Clockwise Counter Average Clockwise Counter Average Agility: Hexagon
Agility Test (time) (time) Time (time) (time) Time

Remarks: Remarks:

PRE-TEST POST TEST


First Trial Second Trial First Trial Second Trial
C. (cm) (cm) (cm) (cm) Power: Standing
Long Jump
Remarks: Remarks:

PRE-TEST TIME POST TEST TIME


D. Speed: 40 meter
Sprint Remarks: Remarks:

PRE-TEST (inches) POST TEST (inches)


E. 1st 2nd 3rd Mid/Mo 1st 2nd 3rd Mid/Mo Reaction Time:
Stick Drop Trial Trial Trial de Trial Trial Trial de

Remarks: Remarks:
PRE-TEST SCORE POST TEST SCORE
F. Coordination:
Juggling Remarks: Remarks:

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