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PFT Card Template 1

This document is a physical fitness test score card that records a student's results for various health-related and skill-related physical fitness components. It includes their personal information, measurements of body composition, results from tests of cardiovascular endurance, muscular strength, flexibility, agility, balance, coordination, power, reaction time and speed. The card is used to track the student's pre-test and post-test scores in order to assess their overall physical fitness and points for improvement.

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Otivar, Lorraine F.
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198 views3 pages

PFT Card Template 1

This document is a physical fitness test score card that records a student's results for various health-related and skill-related physical fitness components. It includes their personal information, measurements of body composition, results from tests of cardiovascular endurance, muscular strength, flexibility, agility, balance, coordination, power, reaction time and speed. The card is used to track the student's pre-test and post-test scores in order to assess their overall physical fitness and points for improvement.

Uploaded by

Otivar, Lorraine F.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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PHYSICAL FITNESS TEST SCORE CARD

Name: Sex: Age:

Level: Birthday:

With Medical
Grade/Section: Condition? (Yes/No)
If yes, please
Teacher: specify:

HEALTH- PHYSICAL
RELATED FITNESS PRE-TEST REMARKS POST TEST REMARKS
COMPONENTS ACTIVITY
Wt (kg): Wt (kg):
Determine the Ht (m): Ht (m):
Body Composition
BMI
BMI: BMI:

Before (bpm): Before (bpm):


Cardiovascular 3-Minute Step
Endurance
After (bpm): After (bpm):

Push ups No. of No. of


repetitions repetitions
Muscular Strength
Basic Plank Time(sec): Time(sec):

Trial 1 (cm): Trial 1 (cm):


Sit and Reach Trial 2 (cm): Trial 2 (cm):

Best Score: Best Score:


Flexibilty
Right (cm): Right (cm):
Zipper Test
Left (cm): Left (cm):

PHYSICAL
SKILL-RELATED
FITNESS PRE-TEST REMARKS POST TEST REMARKS
COMPONENTS
ACTIVITY
Clockwise: Clockwise:

Hexagon Agility Counter-clockwise: Counter-clockwise:


Agility Test
Average (min & Average (min &
sec): sec):
Right (sec): Right (sec):
Balance Stork Balance Left (sec): Left (sec):
- -
Stand Test
APS: APS:
1st Trial: 1st Trial:
2nd Trial: 2nd Trial:
Coordination Juggling
3rd Trial: 3rd Trial:
Max hits: Max hits:
Trial 1: Trial 1:
Standing Long Trial 2: Trial 2:
Power
Jump
Best Score (cm): Best Score (cm):

1st Trial: 1st Trial:


2nd Trial: 2nd Trial:
Reaction time Stick Drop Test 3rd Trial: 3rd Trial:
Mid Score: Mid Score:
(cm) (cm)

Speed 40 meter sprint Time Time


(min & sec): (min & sec):
Points of Improvement:
Overall physical fitness assessment:
Student's Signature: Teacher's Signature:
CHERRY ROSE D. DELINA

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