DIVISION OF ILIGAN CITY

ILIGAN CITY NATIONAL HIGH SCHOOL – SENIOR HIGH SCHOOL

PHYSICAL FITNESS TEST SCORE CARD
Quarter 1 (PRE-TEST)

Name: _______________________________ Age: ________ Grade & Section: ____________________

Part 1: Health-Related Fitness Test
A. BODY COMPOSITION: Body Mass Index (BMI)
Height (Meters) Weight (Kilograms) BMI Classification

B. CARDIO-VASCULAR ENDURANCE: 3-Minute Step Test

Heart Rate Per Minute Description/Interpretation
Before the Activity After the Activity

C. STRENGTH
1. Push-Up 2. Basic Plank
Number of Push-Ups Description/Interpretation Time Description/Interpretation

D. FLEXIBILITY
1. Zipper Test 2. Sit and Reach
Overlap/Gap (Centimeters) Score ( Centimeters) Description/
Description/ Interpretation
Right Left First Trial Second Trial Best Score
Interpretation

PART 2: Skill-Related Fitness Test

A. COORDINATION: Juggling
Description/
First Trial Second Trial Third Trial Best Score Interpretation

B. AGILITY: Hexagon Agility Test

Clockwise Time Counterclockwise Time Average Description/Interpretation

C. SPEED: 40-Meter Sprint

Time Description/Interpretation

D. POWER: Standing Long Jump

Distance (Centimeters)
First Trial Second Trial Third Trial Final Score

E. BALANCE: Stork Balance Stand Test

Right Foot Time Left Foot
Description/Interpretation Description/Interpretation
(00:00) ( 00:00)

F. REACTION TIME: Stick Drop Test

First Trial Second Trial Third Trial Best Score Description/Interpretation

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Name & Signature of Parent/Guardian