Republic of the Philippines

Bangsamoro Autonomous Region in Muslim Mindanao

Ministry of Basic, Higher and Technical Education
Lamitan City Schools Division
Parangbasak National High School
Parangbasak, Lamitan City, Basilan

PHYSICAL FITNESS TEST (PFT) SCORE SHEET FOR P.E.

S.Y. 2018-2019
1x1
NAME: ___________________________________ YEAR/SECTION: __________________
ID No. ____________________________________ AGE: _____ SEX: ____MWHR: ______
PART I. HEALTH – RELATED FITNESS TEST

PARAMETERS ACTIVITIES PRE-TEST POST-TEST

(1st Quarter) (4th Quarter)
Body Mass Index (BMI)  Height (meters)
A. BODY COMPOSITION  Weight (kilograms)
BMI = Weight (kg.)  BMI
Height (m)2  Classification
Heart Rate Per Minute
B. CARDIOVASCULAR 3 – Minute Step Test  Before the Activity
ENDURANCE Heart Rate Per Minute
 After the Activity
Heart Rate Recovery
C. STRENGTH 90 Degrees Push-Up  Number of Push-Up
Basic Plank  Time (00:00)
Zipper Test Overlap Gap – Right Arm (cm)
D. FLEXIBILITY Overlap Gap – Left Arm (cm)
 First Try
Sit and Reach (cm)  Second Try
 Best Score

PART II. SKILL – RELATED FITNESS TEST

PARAMETERS ACTIVITIES PRE-TEST POST-TEST

A. COORDINATION Juggling  Score: Number of Hits
 Clockwise Time (00:00)
B. AGILITY Hexagon Agility Test  Counter Clockwise Time
C. SPEED 40 Meter Sprint  Time (00:00)
 First Trial (cm)
D. POWER Standing Long Jump  Second Trial (cm)
(distance in cm)  Middle Score (cm)
Stork Balance Stand Test  Right Foot Time (00:00)
E. BALANCE  Left Foot Time (00:00)
 First Trial (cm)
F. REACTION TIME Stick Drop Test  Second Trial (cm)
 Third Trial (cm)
 Middle Score (cm)

______________________________________ Working Heart Rate: _________ _________

Name & Signature of PE Teacher