LAGUNDI-CCL NATIONAL HIGH SCHOOL
Morong, Rizal
PHYSICAL FITNESS TEST (PFT) SCORE CARD
Name: Grade & Section:
Birth Date: Age: Sex:
PART I. HEALTH RELATED FITNESS TEST
PRE-TEST POST-TEST
PARAMETERS ACTIVITIES
1st Quarter Interpretation 4th Quarter Interpretation
A. BODY BODY MASS INDEX Height (meters)
COMPOSITION BMI=Weight (kg.) Weight (kilograms)
Height(m)2 BMI
Heart Rate per Minute
Before the Activity
B. CARDIOVASCULAR 3-Minute Step Test
After the Activity
Heart Rate Recovery
90 Degress Push-Up Number of Push-up
C. STRENGHT
Basic Plank Time (00:00)
Overlap Gap Right Arm (cm)
Zipper Test
Overlap Gap Left Arm (cm)
D. FLEXIBILITY First Try
Sit and Reach (cm.) Second Try
Best Score
PART II. SKILL RELATED FITNESS
PRE-TEST POST-TEST
PARAMETERS ACTIVITIES
1st Quarter Interpretation 4th Quarter Interpretation
Number of Hits 1st try
A. COORDINATION Juggling
Number of Hits 2nd try
Clockwise Time (00:00)
B. AGILITY Hexagon Agilty Test
Counter Clockwise Time
C. SPEED 40 Meter Sprint Time (00:00)
First Trial (cm)
Standing Long Jump
D. POWER Second Trial (cm)
(Distance in cm.)
Middle Score (cm)
Stork Balance Stand Right Foot Time (00:00)
E. BALANCE
Test Left Foot Time (00:00)
First Trial (cm)
Second Trial (cm)
F. REACTION TIME Stick Drop Test
Third Trial (cm)
Middle Score (cm)
FIRST QUARTER
Points of improvement:
Overall Physical assessment:
Students Name and Signature: Teacher:
FOURTH QUARTER
Points of improvement:
Overall Physical assessment:
Students Name and Signature: Teacher: