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Republic of the Philippines

SOUTHERN LUZON STATE UNIVERSITY


Gumaca Campus
Gumaca, Quezon

PHYSICAL FITNESS TEST

Name: ________________________________________ Course: _______________


Birthdate: _______________________ Age: _________Gender: ______________
Height ______________ BMI___________ Weight:__________(Classification)_____________

SCORE CARD

Fitness Test Standard Pre-test Mid-test Post-test Performance Scale


Score Score Score Level
PULSE RATE
1. Sit & Reach
2. Shoulder Reach
3. Trunk Lift
4. Curl- ups
5. Push-ups
6. Zipper Test
7. Standing Long
Jump
8. 3 min.Step test
9. 40 meters sprint
10. 1 kilometer walk
test
TOTAL

Performance Level: __________________________Scale: ____________


Equivalent Grade in% ____________

________________________
Signature Overprinted Name
Date Accomplished:___________

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