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Physical Fitness Test Form New

This document is a physical fitness test form from San Andres Elementary School. It contains sections to record a student's health related fitness, including body composition, cardiovascular endurance, muscular strength, and flexibility. It also contains sections to record results from skill-related fitness tests measuring speed, power, agility, reaction time, coordination, and balance. The form collects a student's name, age, school, and test results to assess their overall physical fitness.

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Kimttrix Weizs
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718 views2 pages

Physical Fitness Test Form New

This document is a physical fitness test form from San Andres Elementary School. It contains sections to record a student's health related fitness, including body composition, cardiovascular endurance, muscular strength, and flexibility. It also contains sections to record results from skill-related fitness tests measuring speed, power, agility, reaction time, coordination, and balance. The form collects a student's name, age, school, and test results to assess their overall physical fitness.

Uploaded by

Kimttrix Weizs
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Republic of the Philippines

DEPARTMENT OF EDUCATION
Region IV-A CALABARZON
Division of Laguna
District of Alaminos

SAN ANDRES ELEMENTARY SCHOOL


PHYSICAL FITNESS TEST FORM
NAME : ___________________________________ AGE/SEX : ______________________

SCHOOL : ___________________________________ DISTRICT : ______________________

Part I : HEALTH RELATED FITNESS TEST

A. BODY COMPOSITION
1. BODY MASS INDEX ( BMI ) 2. WAIST CIRCUMFERENCE
Grade Level Waist Circumference Interpretation Grade Height (in Weight (in BMI Classification
(in centimeters) Level inches) kgs)

B. CARDIOVASCULAR ENDURANCE : 3- Minute Step C. MUSCULAR STRENGHT

HEART RATE PER MINUTE 1. 90 DEGREES PUSH-UP 2. CURL-UP


Grade level Resting Heart Rate Training Heart Rate Grade Level Number of Push- Up Number of Curl- Up

D. FLEXIBILITY

1.ZIPPER TEST 2. SIT AND REACH


Grade level Overlap (cm ) Score Grade Level Score ( cm )

Part II SKILL- RELATED TEST


A. SPEED : 40 meter sprint
Grade Level Time ( 00.00 )
B. POWER
1. Basketball Pass 2. Standing Long Jump

Distance ( Meter ) Grade Level Distance ( cm )


st nd rd
Grade Level 1 Trial 2 Trial 3 Trial

C. AGILITY : Hexagon Agility Test

Grade Level Clockwise ( Time ) Counterclockwise ( Time ) Average ( Time )

D. REACTION TIME : Stick Drop Test

st nd rd
Grade Level 1 Trial 2 Trial 3 Trial Middle Score

E. COORDINATION : Paper Juggling


st nd
Grade Level 1 Trial 2 Trial
Number of Hits Number of Hits

F. BALANCE : Stork Balance Stand Test


st nd
1 Trial Time (secs) 2 Trial Time (secs )
Grade Level Left Right Left Right

____________________________________________

Name & Signature of Pupil

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