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Physical Fitness Test Form

This document is a Philippine Physical Fitness Form used to assess a student's health and skill-related fitness. It contains tests to measure the student's body composition through BMI and waist circumference, cardiovascular endurance through a step test, muscular strength through push-ups and planks, flexibility through zipper and sit-and-reach tests, and skill-related fitness including coordination, agility, speed, power, balance, and reaction time. The form collects the student's personal information and records test scores to evaluate different aspects of their physical fitness.

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Annaliza Palos
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349 views2 pages

Physical Fitness Test Form

This document is a Philippine Physical Fitness Form used to assess a student's health and skill-related fitness. It contains tests to measure the student's body composition through BMI and waist circumference, cardiovascular endurance through a step test, muscular strength through push-ups and planks, flexibility through zipper and sit-and-reach tests, and skill-related fitness including coordination, agility, speed, power, balance, and reaction time. The form collects the student's personal information and records test scores to evaluate different aspects of their physical fitness.

Uploaded by

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

Department of Education
Region III
Division of Nueva Ecija
PALAYAN CITY NATIONAL HIGH SCHOOL
Atate, Palayan City

PHILIPPINE PHYSICAL FITNESS FORM

Surname First Name M.I. Year and Section

F M

Birthday (mm/dd/yy) Age Sex (Check appropriate box)

PART 1: HEALTH RELATED FITNESS TEST


A. BODY COMPOSITION
1. Body Mass Index (BMI) 2. Waist Circumference
Height (in meters) Weight (in kilos) BMI Classification (in cm.) Assessment

B. CARDIO VASCULAR ENDURANCE


3 Minute Step
Heart Rate Per Minute
Before The Activity After the Activity

C. MUSCULAR STRENGHT
1. Push-up 2. Basic Plank
Number of Push-up Time

D. FLEXIBILITY
1. Zipper Test 2. Sit and Reach
Overlap Gap (in centimeters) Score (in centimeter)
Right Left

PART 2: SKILL RELATED FITNESS TEST

A. COORDINATION B. AGILITY
Juggling Hexagon Agility Test
Score Clockwise Time Counterclockwise Time Average Time

D. POWER
C. SPEED

Time 1st Trial 2nd Trial


Standing Long Jump
40 Meters Sprint
(Distance in cm)

E. BALANCE
Stork Balance Stand Test
Right Foot (00:00) Left Foot (00:00)

F. REACTION TIME
Stick Drop Test
1st Trial 2nd Trial 3rd Trial Middle Score

Prepared for:
ANNALIZA A. PALOS __________________________
MT 1I-MAPEH Teacher Student Signature

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